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Some common side effects may include: Irritation at the injection site Fatigue Nausea Storage Store at controlled room temperature

And it is really difficult to tell Herxing from drug reaction in these folks

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1,6,7,8 We present a novel therapeutic protocol that employs high-dose neurotoxins for the treatment of refractory flushing rosacea with improved outcomes and absent side effect profile

[DOI] [PubMed] [Google Scholar] 75.Kaplan RN, Riba RD, Zacharoulis S, Bramley AH, Vincent L, Costa C, MacDonald DD, Jin DK, Shido K, Kerns SA, Zhu Z

However, the pandemic is ongoing, and the continued viral transmission allows for accumulation of mutations in the viral genome, which can provide advantages in replication, immune escape, increased transmissibility, or diagnostic detection failure [2]