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	<p>
	  <u>Other symptoms:</u>
	</p>
	<p>
	  There are a number of other sides effects which can occur with treatment.
	  Please tick any of the following symptoms if they are affecting you:
	</p>
	<p align="right">
	  Skin rash [ ],   muscle cramp [ ],   joint pain [ ],   fluid retention [ ],
	  breathlessness [ ]
	</p>
	<p>
	  If any of these symptoms are starting to have a significant impact on
	  your quality of life, please contact the Outreach service (details above).
	  Please also let your general practitioner know about the symptom if
	  you have not done so already because in many cases the symptom will be
	  unrelated to your blood disorder.
	</p>
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