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When adverse effects occurred, they were typically mild and transient, with the most common being mild to moderate headaches (similar frequency to placebo groups), minor injection site reactions (redness, slight swelling), and gastrointestinal effects at higher oral doses (nausea, diarrhea)

I did notice my hair sheds some so Ive been taking a hair vitamin So far Ive had good results even though Ive only been on the 2.5mg dose

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Start with what you can track

When autonomic neuropathy is diabetic in etiology, use the E-code combination (E11.43 = Type 2 DM with diabetic autonomic neuropathy)

Your point is a crucial one, and it highlights the deeply felt frustration and perceived inequity experienced by patients with Pernicious Anemia