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Long-term abuse, especially by injections, might, however, damage organs or produce pigmentation problems that need medical attention

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Intramuscular (IM) : Common sites include the upper arm (deltoid muscle), thigh (vastus lateralis), or buttocks (gluteus medius)

The enzyme epimerase converts myo-inositol to the D-chiro-inositol isomer, maintaining organ-specific ratios of the two isomers