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[37] Potential side effects of lipotropic injections include: Pain or soreness at the site of injection Diarrhea Constipation Anxiety Increased heart rate Incontinence Insomnia Dry mouth Fatigue Numbness of hands and feet This is not a comprehensive list of adverse effects

The standard NHS maintenance schedule for a non-dietary cause is a 1mg injection every two to three months for life

Some might need injections every two weeks, while others might do fine with less frequent ones

Laboratory markers include suppressed free T3 with normal TSH (euthyroid sick syndrome), elevated cortisol, and in severe cases, low LH and FSH indicating hypothalamic suppression