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Step 1: Inspect the Pen Remove the pen from its packaging and confirm the dose and expiration date

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This suggestion is also supported by others who described a neutrophilia around parturition in dairy cows and assumed that this increase was caused by glucocorticoids (26) and resulted in a reduced migration of neutrophils immediately after calving (36)

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In parallel, smaller studies and case series continue to report on off-label use, adding to our knowledge