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Any decrease in height velocity below 4 cm/year in a mid-pubertal patient should prompt immediate discontinuation and endocrinology referral [18]
3) Dizziness and Lightheadedness Some users report transient dizziness, particularly during: Initial dosing phases Caloric restriction or dieting Intense physical activity These symptoms may reflect systemic metabolic adjustments or mild fluctuations in blood pressure or glucose regulation
PMID: 41654147 Liu S et al
It is also worth being explicit about what documented means here, because it is the load-bearing word for a YMYL page
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