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The safety of continuing growth hormone treatment in patients receiving replacement doses for approved indications who concurrently develop these illnesses has not been established

Side effects to tell your doctor about immediately are skin rashes, itching, hives, swelling of the tongue, lips, or face, blueish skin, chest tightness or pain, trouble breathing, wheezing, dizziness, or red, swollen, painful area on a leg (via the Cleveland Clinic)

D51.3 designates B12 deficiency anemia resulting from dietary insufficiency, typically seen in strict vegans who avoid all animal products for extended periods

Additionally, in order to eliminate bias, both investigators and participants should be blinded and remain unaware of whether a participant is receiving a placebo or treatment