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Signs of thyroid problems (neck swelling, difficulty swallowing, persistent hoarseness) require prompt medical review Symptoms of gallbladder disease (right upper quadrant pain, jaundice, fever) Acute kidney injury symptoms (marked reduction in urine output, swelling, confusion), which can occur secondary to severe dehydration A comprehensive clinical assessment should include review of blood glucose monitoring, assessment for anaemia (full blood count), thyroid function tests, renal function, and evaluation of nutritional status

One study in the The Journal of Allergy and Clinical Immunology found that some injected forms of B vitamins at higher doses, like B12, can be linked with an allergic reaction

But he worries about people tracking down their own peptide supply

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