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Costello, A

However, seek immediate medical attention if you experience: Severe, persistent abdominal pain (possible pancreatitis) Signs of thyroid tumors: lump in the neck, hoarseness, difficulty swallowing, or shortness of breath Symptoms of severe hypoglycemia (when used with insulin or sulfonylureas): confusion, dizziness, severe sweating, or loss of consciousness Signs of kidney problems: decreased urination, swelling in legs or feet, unusual fatigue Severe allergic reactions: rash, itching, severe dizziness, difficulty breathing Storage and disposal: Store unused pens in the refrigerator (36F to 46F)

Am J Psychiatry 149 : 890897

Obulesu M, Venu R, Somashekhar R (2011) Lipid peroxidation in Alzheimers disease: emphasis on metal-mediated neurotoxicity

Gastrointestinal beriberi: a forme fruste of Wernickes encephalopathy