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Chris Aiken, MD Director, Psych Partners Editor in Chief, Carlat Psychiatry Report

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When to seek medical advice: Severe pain, swelling, or signs of infection at injection sites Allergic symptoms (rash, difficulty breathing, facial swelling) Unexplained fatigue, jaundice, or dark urine Any concerning symptoms following injection Patients should always disclose use of lipotropic injections to their GP, as this information may be relevant for diagnosis and management of other conditions

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Autoimmune antibodies, including anti-SSA, anti-SSB, anti-SM, anti-dsDNA, anti-mitochondrial, rheumatoid factor, were negative

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When you're a woman (PDE5 inhibitors aren't indicated for women)

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