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It does not require a prescription in the traditional sense, but obtaining it through proper channels has become more difficult with the Category 2 classification

Risks include mild gastrointestinal discomfort, headaches, injection site irritation, and unknown long-term effects

This mild irritation usually subsides within a few hours to a few days and can be managed with over-the-counter pain relief or cold compresses

If cholelithiasis is suspected, gallbladder studies and appropriate clinical follow-up are indicated [see Adverse Reactions (6.1)]

Moreover, it acts as a nitrogen donor in purine and pyrimidine synthesis as well as a precursor for protein and glutathione biosynthesis [23]