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The following list outlines potential reactions: Mild discomfort, bruising, or redness at the injection site Temporary bloating or abdominal cramping (more common with IV drips) Allergic reactions, including rash or itching, in rare cases Potential kidney stress at very high, prolonged doses administered without medical supervision Possible interactions with chemotherapy drugs – patients undergoing cancer treatment should consult their oncologist Serious adverse effects are typically associated with unregulated products, improper dosing, or administration in non-medical settings

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In PA there is an autoimmune process that produces antibodies that target either intrinsic factor or the parietal cells that produce IF

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