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Potential Side Effects, Contraindications, and Safety Considerations Tesamorelin contraindications Disruption of the hypothalamic-pituitary axis Active malignancy Known hypersensitivity Pregnancy Common tesamorelin adverse reactions Arthralgia Injection-site erythema or itching Pain in extremity Peripheral edema Myalgia Growth-axis risks Elevated IGF-1 Glucose intolerance or diabetes Fluid retention Carpal-tunnel symptoms Joint pain Potential excessive tissue growth Malignancy concern Growth hormone and IGF-1 support cell proliferation and survival

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Though extremely rare, some dogs might show an allergic reaction to a B12 supplement, especially if it contains additional ingredients

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