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A subtle visual change with no obvious cause is still grounds to discard
These can include temporary digestive changes, mild headaches (which are often linked to hydration or electrolyte balance), and some muscle soreness as your body adapts to increased fat oxidation
The short- and long-term outlook for the patient depends on the reversibility of the injury and the recovery
Given these concerns, the FDA approved a new warning label for PPS in June 2020 143 which states that: A detailed ophthalmologic history should be obtained in all patients prior to starting treatment with PPS
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