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Inspect the pen and ensure the solution is clear and colourless Prime the pen on first use until a drop appears Dial the required dose (clicks) Apply to clean skin (abdomen or thigh) Hold in place for 6 seconds Replace the cap and store properly 12 clicks = 5 mg Use once daily Typically used for up to 20 consecutive days Follow with a 2-week break before restarting Adjust under professional guidance Approximately 20 doses per pen (based on 5 mg daily use)

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The colour of the water of the Huacachina Lagoon is emerald green, which arose due to the upwelling of underground currents

Funding: This study has been granted funding from the Centre of Excellence Scheme and the University of Bergen (UiB), Norway to the Centre for Intervention Science in Maternal and Child Health (CISMAC