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Side effects are: Red rash Increase skin acne Photosensitivity Bruising and bleeding at the injection site Vitamin D Vitamin D contributes to normal absorption/utilisation of calcium and phosphorus Contributes to normal blood calcium levels Contributes to the maintenance of normal bones Contributes to the maintenance of normal muscle function Contributes to the maintenance of normal teeth Contributes to the normal function of the immune system Has a role in the process of cell division Helps to reduce the risk of falling associated with postural instability and muscle weakness

doi: 10.3389/fmicb.2017.01531 368 ZhangF.LiD.YangY.ZhangH.ZhuJ.LiuJ.et al

That said, its important to keep in mind that while this medication is effective, it delivers the best results when combined with healthy lifestyle choices

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I know there are women in perimenopause like me who are doing their best and still gaining weight