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Common side effects include fatigue, nausea, vomiting, and appetite loss, while serious risks involve bone marrow suppression, kidney problems, and severe skin reactions

We do not run diagnostic blood tests, so we are not a substitute for medical investigation of a B12 deficiency

Follow up ect Treated her with care in A and E
In most cases, the Tramadol withdrawal symptoms consisted of classical opioid withdrawal, but in some cases were accompanied by withdrawal symptoms not normally observed in opiate withdrawal
