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Indeed, in both studies, the highest frequency of TEAEs was in the normal function groups, possibly owing to the smaller sample sizes in the more severe impairment groups, or alternatively because participants with more serious health concerns, such as those with severe renal or hepatic impairment, may be less likely to notice or report mild or moderate TEAEs, as observed in populations with cancer [21]

Step 3: Sterilize the Vial Stoppers Take a fresh alcohol prep pad and vigorously wipe the rubber stopper of the bacteriostatic water vial

If you notice new fatigue, cold intolerance, hair thinning, or unexplained weight regain while on a stable dose, thyroid function testing should be a first step

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Additionally, some blood cancers may cause symptoms similar to B12 deficiency, such as fatigue and anemia