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There’s also the possibility of insulin resistance—the body’s lowered ability to regulate blood sugar—which comes with its own metabolic risk factors, like kidney disease and type 2 diabetes

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[1] Other rare side effects noted (mostly in older literature or high-dose use) include: polycythemia vera and peripheral vascular thrombosis in patients receiving repeated injections (though these associations are not well understood, they were listed in prior product literature as possible adverse events)

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