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It may be increased in renal failure

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Peripheral ammonia as a mediator of methamphetamine neurotoxicity

Potential Side Effects to Watch For Mild injection site redness or swelling Dizziness or lightheadedness Gastrointestinal discomfort like nausea or diarrhea Allergic reactions (rare but serious) Possible reduction in zinc levels with long-term high-dose use Proper medical supervision and adherence to dos and donts minimize these risks