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A urologist may recommend surgery to remove plaque or help straighten the penis during an erection

5.4 Use in Women of Childbearing Potential Because of the risk to the fetus of decreased IQ and major congenital malformations (including neural tube defects), which may occur very early in pregnancy, valproate should not be administered to a woman of childbearing potential unless the drug is essential to the management of her medical condition

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If you do lose some weight while receiving lipotropic injections, this is likely more due to other factors in your weight loss program like exercise and diet than to the shots alone