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Even the relatively small amount of benzyl alcohol in bacteriostatic water can build up in neonates and cause a dangerous condition known as gasping syndrome, characterized by metabolic acidosis, gasping respiration, respiratory failure, and potentially fatal outcomes

Fatigue can appear early because retatrutide cuts intake while increasing fuel use

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Common neurological manifestations include: Paraesthesia (pins and needles) in the hands and feet Numbness and altered sensation Difficulty with balance and coordination (ataxia) Memory problems and cognitive impairment Mood changes, including depression and irritability In severe cases, visual disturbances and confusion These neurological features arise from demyelination of peripheral nerves and the spinal cord, a condition known as subacute combined degeneration when it affects the posterior and lateral columns of the spinal cord