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This is more commonly associated with extreme caloric restriction or excessive exercise, but significant medically-assisted weight loss can trigger a similar response in susceptible individuals

This keeps the plan aligned with your response instead of a fixed schedule

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Lesions can cause burning and pruritus, and mucosal involvement is rare

Alcohol consumption : As a practical consideration only, some clinicians suggest avoiding injection on evenings when significant alcohol consumption is anticipated, to avoid compounding nausea though this is not established in UK product information