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Ensure the needle is fully engaged and wait for the click or the visual indicator to confirm the dose is complete

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J Clin Endocrinol Metab 85:16861694 Boot AM, Engels MA, Boerma GJ, Krenning EP, De Muinck Keizer-Schrama SM (1997) Changes in bone mineral density, body composition, and lipid metabolism during growth hormone (GH) treatment in children with GH deficiency