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NHS guidance lists common effects such as pain, swelling, or itching at the injection site and nausea

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After that, the pen can be stored at room temperature (below 30C) for up to 30 days

In a case of ocular neuromyotonia, vascular compression of the oculomotor nerve by the posterior cerebral and superior cerebellar arteries was identified by 3D MRI and successfully treated by surgical microvascular decompression (31)

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