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The solutions, Goldstein said, are no different than solutions to constipation from other causes: Monitor your bowel movements, talk to your doctor about changes or pain, and try to get ahead of the problem with medications or lifestyle and diet changes

Some international rules permit extended use if pens are already in use

Other international helplines can be found at befrienders.org

Injecting the medication into different areas such as your thighs, abdomen, or upper arm beneath the skin, away from veins, ensures optimal absorption by your body