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Key safety considerations include: Infection risk : Any injection carries risk of infection if proper aseptic technique is not followed Allergic reactions : Multiple ingredients increase the potential for hypersensitivity Undiagnosed conditions : Self-administration or private clinic use may delay diagnosis of underlying medical conditions Pregnancy and breastfeeding : Safety data for lipotropic formulations in pregnancy is lacking Call 999 immediately if you experience signs of anaphylaxis (difficulty breathing, facial/tongue swelling, collapse) after an injection

Topical bioavailability: Lower but meaningful

Suspected adverse reactions to any medicine or unlicensed product should be reported via the MHRA Yellow Card Scheme (yellowcard.mhra.gov.uk)

Fatigue Cold hands and feet Sleep disturbances or vivid dreams Bradycardia (slow heart rate) Propranolol should be used cautiously in patients with asthma or certain heart conduction problems