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Consider stepping back temporarily If 50 units is genuinely intolerable, stepping back to your previous dose for two to four additional weeks is a valid strategy

57 Kroller-SchonS.KnorrM.HausdingM.OelzeM.SchuffA.SchellR.et al (2012)

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Smoking accelerates alveolar bone loss, masks gingival inflammation, and raises implant failure rates

Interestingly, similar results have not been confirmed in men (67)

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