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As noted by healthcare professionals, ongoing follow-up is necessary to manage any potential side effects effectively and to adjust treatment as needed

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This is not a formally documented adverse effect in the Summary of Product Characteristics (SmPC) but may reflect individual susceptibility or coincidental dermatological conditions

Report persistent, worsening or concerning reactions promptly

Its an unsaturated fatty acid derived from castor oil which was discovered in 1877 when scientists distilled the by-products castor oil

Metformin in the treatment of HIV lipodystrophy syndrome: a randomized controlled trial