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The most frequently reported adverse effects were gastrointestinal in nature, generally mild to moderate in severity and transient, typically occurring during the dose-escalation period

Per the brand's Returns page: email customer support with your order number and the reason for the return

Some patients find that taking their injection in the evening and sleeping through the peak nausea window (hours 24) makes the experience much more tolerable than daytime dosing

In 2023, Di Lorenzo et al

A provider screens your history, watches for any reaction, and adjusts or stops if needed

They will then apply an anesthetic, either topical or localized injections