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You might experience mild side effects such as headaches, nausea, or difficulty sleeping. If these persist or worsen, it's important to inform your healthcare provider. Generally, many individuals using this medication do not encounter severe side effects. However, as your immune system strengthens, it may start to combat existing infections, potentially causing symptoms to resurface. Alternatively, an overactive immune response can occur at any point, shortly after beginning treatment or even months later. Seek immediate medical attention if you experience serious symptoms like unexplained weight loss, persistent fatigue, muscle pain or weakness, severe headaches, joint pain, tingling in limbs, vision changes, infection signs (fever, chills, swollen lymph nodes, breathing difficulties, cough, persistent skin sores), or symptoms of an overactive thyroid (irritability, nervousness, heat intolerance, rapid heartbeat, eye bulging, or neck swelling).

Additionally, alert your healthcare provider if you experience persistent nausea or vomiting, signs of kidney issues (changes in urination), appetite loss, severe abdominal pain, dark urine, or yellowing of the skin or eyes. Changes in body fat distribution may also occur, such as increased fat in the upper back and abdomen and decreased fat in limbs, but the long-term implications are unclear. Discuss with your healthcare provider the potential benefits and risks of treatment, and consider exercise to help manage this side effect.

Though rare, severe allergic reactions can happen. Seek urgent medical help if you notice symptoms of a serious allergic reaction, including rash (especially with fever, blisters, mouth sores, eye redness/swelling, joint pain), itching or swelling (particularly of the face, tongue, or throat), severe dizziness, or trouble breathing. This summary does not cover all possible side effects. If you notice other effects, consult your healthcare provider for advice.