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Xu B, Allard C, Alvarez-Mercado AI, Fuselier T, Kim JH, Coons LA, et al

Occasionally a child will feel a shot administered perfectly if no local anesthetic was used

They include: Nausea and vomiting Constipation or diarrhoea Gastroesophageal reflux (GERD) and gastroparesis Headaches and fatigue Mood disorders: depression, anxiety, even suicidal thoughts Hair loss Muscle loss and reduced bone density Gallbladder and pancreatic issues Possible thyroid tumours (noted in animal studies) Many of these side effects stem from slowed gastric emptying, bile flow disruption, changes in blood sugar regulation, and prolonged appetite suppression all of which can significantly impact nutrient intake and gut health

Participants also reported a mean 58% reduction in the use of SABA (155)

Doing so will maintain even pressure in the vial