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However, excessive supplementation could also cause this in some cases

Maintenance phase

Effect of Naltrexone-Bupropion on Major Adverse Cardiovascular Events in Overweight and Obese Patients with Cardiovascular Risk Factors: A Randomized Clinical Trial

These may include but are not limited to: Redness and/or swelling to the treated area Temporary heaviness or tenderness in the arm Excess supplementation is possible if not clinically required, which is why medical consultation and monitoring are essential

I expect that what happened is the stress of the hospital stay and age intensified the pain to the point it was not manageable in my fatigued state