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Metabolism: Some individuals metabolize the medication faster than others

10.1093/toxsci/kfy297 85 ZmijewskiJ

They may position the needle near the affected nerve or into or around the facet joints of the spine, the sacroiliac joints between the pelvic bones, or the affected trigger points

Here is a list of some of these complaints: Sinus irritation Fatigue Pain at injection site Nausea Headaches These side effects are likely due to the route of administration, which would typically be a nasal spray or subcutaneously Frequency and Severity of Side Effects Again, data on the side effects related to Selank administration is sparse