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Several commenters criticized the lack of adequate risk adjustment for social and demographic factors, noting that hospitals serving higher-risk, underserved, or rural populations could be unfairly affected despite delivering high-quality care

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Injection Site Rotation Both subcutaneous and intramuscular injection sites should be rotated systematically to prevent lipodystrophy (SubQ) or localized fibrosis (IM)

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Use only as directed by a qualified healthcare professional