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Adverse reactions following intramuscular (IM) injection have included anxiety, mild transient diarrhea, ataxia, nervousness, pruritus, transitory exanthema, and a feeling of swelling of the entire body

Although severe adverse events are rare, pathogen transmission risks (e.g., antimicrobial resistance genes, viruses, and hitherto unidentified pathogens) require long-term monitoring, particularly in immunosuppressed patients

Krissinel, E

In the Phase 2 study the highest arm continued upward toward higher maintenance targets, but the core principle held throughout: escalate only after the current step is tolerated , in roughly four-week increments

Therefore, it is especially common in vegans

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