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One published case series (N=14 patients, mixed athletic backgrounds) noted that 11 of 14 participants reported reduced DOMS duration from an average of 72 hours to approximately 36 hours, though this was self-reported and uncontrolled

Red flag symptoms requiring immediate medical attention include arm weakness, numbness extending below the elbow, fever above 101F, or severe headache with stiff neck

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However, since topiramate can sometimes cause drowsiness or dizziness, some people prefer to take it at night, whereas the timing of your weekly injection is more flexible as long as it remains consistent

For visible skin brightening, a series of 612 sessions is usually recommended, with results building over 48 weeks depending on your starting skin tone and treatment frequency