The short version: independent testing, conservative titration, sterile-ish technique, a written record and a clinician who knows.
Keep a written log: date, dose, lot, site, and anything noticed. It converts an anecdote into a record and is what makes any later consultation productive.
Know the symptoms that end the discussion: severe epigastric pain radiating to the back, persistent vomiting with reduced urine output, spreading redness with fever, jaundice, chest pain or breathlessness.
Slower titration than the licensed schedule reduces gastrointestinal adverse events, which is the mechanism the licensed schedules themselves rely on.
Tell a clinician. It is the decision that makes every other problem solvable.
Worth adding that legal position and enforcement posture are different things. – deamidation_watch 4 months ago Adding a vote because this deserves more of them. – nominal_ten 5 months ago add a comment