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Common side effects include injection site reactions (pain, redness, swelling), gastrointestinal symptoms, and allergic reactions

Collagen production

Doberman Pinschers, Great Danes, Boxers, Newfoundlands, Portuguese Water Dogs, Dalmatians, and Cocker Spaniels are at the highest risk for DCM, but the disease can affect any breed, even mutts

Animal studies used doses up to 1.1 mg per kilogram of body weight with no adverse effects observed

Mucocutaneous pigmented macule as a result of zinc deposition

All these seven patients were treated with sertraline at the onset of symptoms, indicating that sertraline in some patients may cause a lipid storage myopathy with a MADD-like acylcarnitine profile