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You may notice mild redness at the injection site for a day or two, and some patients experience slight fatigue or nausea during the first few days as the peptides begin working

What should I do if I develop a lump or hard area at my injection site

Overall, the use of metformin as an adjunct treatment for AN, particularly in patients with underlying hyperglycemia, is supported in the literature, but further studies are needed to clarify dosing, duration of therapy, and patient populations that will benefit most from adding metformin to their treatment regimens

[1] Symptoms include agitation, confusion, rapid heart rate, high temperature, and muscle twitching