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0.5% to less than 1% reported ecchymosis, gout, arthrosis, neck rigidity, joint swelling, joint disorder, leg or muscle cramps, muscle spasms, joint stiffness, muscle twitching, and arthritis or aggravation of osteoarthritis

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On the other hand, surgery is a one-time expense, and with the cost of weight loss surgery coming down dramatically for self pay patients over the last 20 years, these procedures can easily pay for themselves relatively quickly when you look at the significant savings patients will see in reduced food and medication expenditures