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Required documentation elements include: Diagnosis and indication: Specific ICD-10 diagnosis, clinical rationale for the injection, and prior treatment history (conservative therapy tried and failed)

They have been prescribed antacids, told to avoid chilli, and lastly sent home

Sterile technique: Use a fresh sterile U-100 insulin syringe each time and drop it straight into a puncture-proof sharps container afterward

J Clin Invest 89 : 19081913 Ethics declarations Competing interests The authors declare no competing financial interests

Because of insufficient digestive enzymes created by the pancreas, food passes through the body basically undigested