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The principal serious adverse reactions are: (1) Ovarian hyperstimulation, a syndrome of sudden ovarian enlargement, ascites with or without pain and/or pleural effusion, (2) Rupture of ovarian cysts with resultant hemoperitoneum, (3) Multiple births and (4) Arterial thromboembolism

[13] [14] The UK SmPC advises that patients should be counselled on symptoms of thyroid tumours (such as a lump in the neck, persistent hoarseness, difficulty swallowing) and seek prompt medical attention if these occur

doi: 10.1212/wnl.48.5.1238

The timescale of infection with the parasite can range from weeks to years

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