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Most patients have no side effects

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As with virtually all research peptides, use during these periods is not recommended

Patients with pernicious anemia have about 3 times the incidence of carcinoma of the stomach as in the general population, so appropriate tests for this condition should be carried out when indicated

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Frequent missed doses may compromise treatment effectiveness, and patients experiencing difficulty maintaining their dosing schedule should discuss strategies with their healthcare provider, such as setting reminders or adjusting the injection day to better fit their routine