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doi:10.1016/j.cgh.2006.10.025 14Levine DS, Riff DS, Pruitt R, et al

You can usually manage any discomfort with over-the-counter pain relievers if needed

Older adults and people taking metformin or acid-suppressing drugs who have confirmed low levels or absorption issues (NIH ODS)

However, some patients may have slight weight fluctuations due to various reasons such as fluid retention, other hormones and medications that may be used in combination with HCG, stress, etc