Symptoms that deserve prompt medical attention include: severe abdominal pain pain that spreads to the back repeated vomiting signs of dehydration yellowing of the skin or eyes upper right abdominal pain, especially with fever or vomiting symptoms of low blood sugar, such as shakiness, sweating, confusion, or rapid heartbeat swelling of the face, lips, tongue, or throat trouble breathing a lump or swelling in the neck, hoarseness, or trouble swallowing The point is not to expect these problems
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Additionally, some researchers notice menstrual cycle changes or hormonal shifts that coincide with apparent plateaus