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However, some individuals may experience: Injection site reactions such as mild redness, itching, or swelling Water retention or mild fluid buildup, particularly in the early weeks Joint discomfort or stiffness, which often resolves as the body adjusts Tingling or numbness in the hands or feet (less common) Elevated blood glucose levels in individuals predisposed to insulin resistance It is worth noting that tesamorelin should not be used by individuals with active cancer, those who are pregnant, or patients with hypersensitivity to its components

Deficiency in B12 can cause symptoms of anaemia, fatigue, constipation poor memory and reduced mental function

This picture can also be caused by folate deficiency

10.1016/j.bios.2014.03.004