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Withdrawal symptoms can hit fast and hard

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community and clinical sources describe dermatological monitoring for these changes, especially with long-term use Injection site darkening localized hyperpigmentation Mood changes irritability reported by some during loading Managing nausea: community sources commonly describe beginning at 100-250 mcg, injecting before bed on an empty stomach, using anti-nausea medication (ondansetron) when needed, and escalating the dose gradually

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Resolution rates In published cases, every patient who discontinued the medication experienced complete resolution of allodynia symptoms

Having support in place and building solid routines can lower the chances of this happening