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Leaders must ensure these early warning signs are addressed at the highest standard

My resting heart rate went up 5 bpm Reported as a mild stimulant-like effect in the first 1 to 2 weeks

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Other symptoms may include: Constipation Sores or swelling in the eyes Draining of pus, mucus, or stools from around the rectum or anus (caused by something called a fistula) Joint pain and swelling Mouth ulcers Rectal bleeding and bloody stools Swollen gums Tender, red bumps (nodules) under the skin, which may turn into skin ulcers Exams and Tests A physical exam may show a mass or tenderness in the abdomen, skin rash, swollen joints, or mouth ulcers

Lack of coordination of services For the most part, service providers acknowledged improved coordination of services for victims over the past several years