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Nitrosourea (BCNU), an anti-cancer drug, is used to inhibit GR [24]

Patients should be educated about serious adverse effects requiring immediate medical attention, including: Pancreatitis: severe abdominal pain radiating to the back, persistent vomiting Hypersensitivity reactions: rash, difficulty breathing, facial swelling Gallbladder disease: right upper quadrant pain, fever, jaundice Thyroid C-cell tumors (boxed warning): neck mass, dysphagia, hoarseness, persistent dyspnea Regular follow-up with healthcare providers ensures appropriate monitoring and timely intervention if adverse effects occur

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Reported side effects include mild headaches or dizziness (more common when combined with growth hormone peptides), injection site irritation, GI discomfort from low-quality oral preparations, and occasional mood or energy changes