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Red flags include persistent nausea that doesn't improve within 48 hours of injection, loss of appetite so severe that maintaining basic nutrition becomes impossible, and unexplained shakiness or sweating between meals (signs of low blood sugar)

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[DOI] [PMC free article] [PubMed] [Google Scholar] 29.Egbuna C., Awuchi C.G., Kushwaha G., Rudrapal M., Patrick-Iwuanyanwu K.C., Singh O., Odoh U.E., Khan J., Jeevanandam J., Kumarasamy S., et al

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It is also banned by the World Anti-Doping Agency (WADA).