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J Thorac Oncol 8(4):502-10, 2013

Yamaguchi K, Mandai M, Toyokuni S, Hamanishi J, Higuchi T, Takakura K, et al

Some rare sermorelin side effects can include ( 6 ): Allergic reactions, such as rash, itching, or in severe cases, difficulty breathing Sleep disturbances, including vivid dreams or insomnia Water retention, bloating, or swelling in the hands and feet Joint pain or stiffness, particularly in the knees or ankles Tingling or numbness in the extremities These effects can sometimes be related to how the body processes increased GH levels

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Shake thoroughly for up to 30 seconds check the lid to ensure all the powder has been mixed into the solution