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While significant adverse effects on liver function haven't been widely reported in initial studies, it's a critical area for ongoing scrutiny

It is usually taken once daily after meals, but follow the exact schedule as directed by your healthcare provider

2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC)Developed with the special contribution of the Heart Failure Association (HFA) of the ESC

As to the pain "going in" it may be that the needle caught a nerve or vein plus the fact that you were probably a little tense and nervous