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More rarely, more serious reactions may occur, such as allergic reactions (urticaria, itching, shortness of breath, facial swelling), heart failure in people with pre-existing problems, or hypokalemia (low potassium levels) at the beginning of treatment due to increased hematopoiesis

Ge EJ, Bush AI, Casini A, Cobine PA, Cross JR, DeNicola GM, Dou QP, Franz KJ, Gohil VM, Gupta S, Kaler SG, Lutsenko S, Mittal V, Petris MJ, Polishchuk R, Ralle M, Schilsky ML, Tonks NK, Vahdat LT, Van Aelst L, Xi D, Yuan P, Brady DC, Chang CJ (2022) Nat Rev Cancer 22:102113

The upper arms often develop what people call bat wings as the skin loses elasticity

The reconstitution process Step 1: Wash your hands thoroughly with soap and water