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severe fatigue joint pain joint swelling malar rash, which is a skin rash on the cheeks and nose (often referred to as a butterfly rash) hair loss fever mouth sores fingers turning white or blue and tingling when cold, which is known as Raynaud phenomenon Other symptoms depend on the part of the body the disease is affecting, such as the digestive system, heart, or skin

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Psychological: sudden mood shifts, irritability, or low mood

Store vials in opaque or amber containers when possible

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