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There are some very rare side effects listed in medical literature (mostly when large doses are given): for example, one out of many thousands of patients might develop a disturbance in liver enzymes or a tingling in the fingers or toes
Whether and how these variants cause energy imbalance and therefore obesity is unclear

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Reinterrogada al respecto, la paciente recordaba haberse sometido a un tratamiento de mesoterapia lipoltica en las zonas afectadas una semana antes del inicio de la sintomatologa

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