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Be concerned if spasms occur multiple times per week, are severe or long-lasting, affect multiple body areas, are accompanied by muscle weakness, numbness, or tingling

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An intradermal test dose is recommended before administration in patients suspected of being sensitive to the drug

However, deficiency is quite common , particularly among vegetarians, older adults, and people with certain digestive conditions

Elevated GH can affect insulin sensitivity, so this is worth tracking for patients with any metabolic history