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Some people have long periods without symptoms, followed by flare-ups that can be severe

Contact your pharmacy to ask about their shipping protocols and whether a cold chain was maintained

For people with type 2 diabetes, there is a higher risk of kidney disease due to high blood sugar levels

The Department of Health said: "The Medicines and Healthcare products Regulatory Agency (MHRA) continuously works to identify those unlawfully trading in medicines and will use its powers to take appropriate enforcement action." Dr Alison Cave, the MHRA's chief safety officer, said: "Buying prescription-only medicines without a prescription from illegally trading suppliers significantly increases the risk of receiving something which is either fake or not licensed for use in the UK