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Potential side effects include: Water retention (especially early in the protocol) Mild joint discomfort or stiffness Temporary fatigue or lethargy Flushing or warmth at the injection site Headaches (typically mild and transient) Most side effects are dose-dependent and resolve with dosage adjustment

Regardless of how many times a contract was modified or the amount changed, the hospital should use all data available over a 12-month lookback period