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We also request patients stop all blood thinning over-the-counter medications and supplements 2-3 weeks prior to Sculptra injections, including vitamin E, fish oil, aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs), and ginkgo biloba

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These may include: Nausea and stomach upset Diarrhea Constipation Injection site redness or swelling Itching Headache Dizziness Blood clots Swelling In rare cases, some people may experience an allergic reaction to vitamin B12, which can cause symptoms such as hives, difficulty breathing, and swelling of the face, lips, tongue, or throat