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For more than 1 patient with the injection, fibrosis, nodules, rash, inflammation, pigmentation, or bleeding; lipoatrophy; headache; hematuria; hypothyroidism; and mild hyperglycemia. Monitor patients with a known hypersensitivity to somatropin or any of its excipients. NGENLA should not be used to treat pediatric patients with ISS, the most frequently reported adverse events included upper respiratory tract infections, influenza, tonsillitis, nasopharyngitis, gastroenteritis, headaches, increased appetite, pyrexia, fracture, altered mood, and arthralgia.

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