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You need to inform your doctor about the following side effects as soon as possible : Allergic reactions like skin rash, itching, hives, face, lips, or tongue swell (it can be avoided by a skin test before the injection) Fluid Retention and swelling in various parts of the body Breathing problems Breast enlargement Enlargement of penis and testes Ovarian hyperstimulation syndrome (OHSS), in which the ovaries become swollen and painful

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Community sources describe a pattern where COA requests to marketplace sellers are met with silence, generic certificates that lack lot numbers, or manufacturer documentation that predates the product by years