Accepted answer
Start with the fact that nothing in this space is risk-free and that the useful question is which risks are reducible at what cost.
Handling risk is reduced by aseptic technique, minimising stopper entries, refrigerating after reconstitution and discarding on any change in appearance. None of it makes a preparation sterile.
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.
Slower titration than the licensed schedule reduces gastrointestinal adverse events, which is the mechanism the licensed schedules themselves rely on.
Nothing here is medical advice, and research-use compounds are not approved for human use in any jurisdiction.
Tell a clinician. It is the decision that makes every other problem solvable.