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Effects described in the literature and practitioner reports Drawn from case reports, compounding pharmacy data and practitioner accounts rather than controlled trials: Gastrointestinal discomfort and nausea, particularly with oral administration Dizziness or light-headedness Injection site reactions including redness, warmth, swelling and localised pain Headache Fatigue or somnolence in some individuals Without systematic pharmacovigilance, effects that are rare, delayed or cumulative would not appear in this list even if they occur