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When to seek medical advice: Severe pain, swelling, or signs of infection at injection sites Allergic symptoms (rash, difficulty breathing, facial swelling) Unexplained fatigue, jaundice, or dark urine Any concerning symptoms following injection Patients should always disclose use of lipotropic injections to their GP, as this information may be relevant for diagnosis and management of other conditions

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Monitoring is generally unnecessary for those taking standard supplements

However no significant effect of either MTHFR (p = 0.41) or GSTO-1 (p = 0.83) polymorphisms on the size of stroke was detected