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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

This is different from the lyophilized (freeze-dried) powder, which is stable at frozen temperatures

[7] [9] These contraindications are based on known metabolic pathways, clinical case reports, and established pharmacological principles, and are supported by clinical guidelines and expert consensus