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Injection site stinging lasting 5-15 minutes is the most frequently reported side effect

Precautions & Warnings Long term use is not recommended Drug Interactions May interact with: Immunosuppresants Chemotherapeutic Drugs Corticosteroids Storage/Disposal Store at room temperature away from moisture and heat

Williams has been involved in the development of health policy at the national level in the U.S

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For example, a 2025 study by Lopez de Coca and colleagues reported a high prevalence of small intestinal bacterial overgrowth (SIBO) in patients with FM, approximately 59%, with methane-dominant overgrowth being particularly common and significantly more frequent than in controls (35)

Karten et al., 2006)