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A lack of iron can cause uneven pigmentation, dullness, and a pale or sallow complexion Yes

Gasser P, Tarchevskaya SS, Guntern P, Brigger D, Ruppli R, Zbren N, et al
This is largely in view of the high cost savings, ease of administration and reduced pain and injection-associated injury (Wentworth and Copland, 2018)

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Frequency generally decreased as participants remained on a stable retatrutide dose over time