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These possible complications include the following: Birth defects, miscarriage, or premature birth if taken during pregnancy Joint or bone pain, abnormal bone growth, and osteoporosis (bone thinning or weakening) Visual issues, including reduced night vision Hearing impairment Rare buildup of pressure inside the head (pseudotumor cerebri), with symptoms like blurred vision and nausea Mental health challenges like mood swings, depression, anxiety, or suicidal thoughts

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