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It should be treated immediately with oral glucose or, if the patient is unconscious or unable to swallow safely, with intravenous glucose or intramuscular or subcutaneous glucagon injection (Figure 13.8)

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If 2.4 mg is not tolerated, the documented fallback is to hold at the highest tolerated step (commonly 1.7 mg) rather than push through severe GI effects

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A plateau is medically defined as maintaining the same body weight for a continuous period of three months or longer while still adhering to the treatment protocol consistently

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