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The resulting tiredness persists despite adequate rest and does not respond to early bedtimes or caffeine

Am J Physiol Renal Physiol (2016) 311(1):F14561

Several factors increase the risk of lip filler nodules, making certain individuals more prone to this complication: Autoimmune diseases Conditions such as lupus, rheumatoid arthritis, or multiple sclerosis can trigger an immune response to dermal fillers, increasing the risk of nodules, granulomas, and prolonged inflammation