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Urgent specialist referral is needed if you develop neurological symptoms

a systematic review and meta-analysis

Hives Difficulty in breathing Swelling of face, lips, tongue, or throat Pain, warmth, or tingling sensation in the arm or leg Confusion Dizziness Severe headache Ovarian hyperstimulation syndrome (OHSS) : A few women may develop this condition after the first treatment cycle

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When picking a B12 formulation, its key to think about the patients specific needs and any possible interactions with other drugs

Progress Photos: Standardized photos (same lighting, angles, clothing) every 2-4 weeks document visual changes that measurements may miss