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It causes the cells to lose oxygen very easily, turning them from round shapes to crescent shapes that cause painful episodes known as pain crises.
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He got up, skied to the finish, then writhed around in pain at the bottom - a painful end to both his day, and his career.
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The side effects from the medicine can also be nasty: Ivermectin may cause fever, itching, skin rash, joint or muscle pain, rapid heartbeat, and painful, tender glands.
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