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According to a 2026 review of clinical trials, about half of people reported nausea at some point while taking this medication

The coming of age of biosimilars: a personal perspective. Biologics 2.2 (2022): 107-127
The problem is that "15 mg" does not translate to a single number of units

Each multi-dose pen contains 4 doses and lasts for 4 weeks before you need to switch pens
