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This happens due to a lack of an intrinsic factor, a protein necessary for B12 absorption in the stomach

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Overall Adverse Event Rates Dose Group Any Adverse Event (%) GI Adverse Events (%) Discontinuation Due to AE (%) Placebo 72.1% 32.6% 0% 1 mg 88.6% 48.6% 2.9% 4 mg (escalated) 88.6% 60.0% 5.7% 4 mg (single dose) 90.9% 63.6% 6.1% 8 mg (escalated) 87.5% 57.5% 5.0% 8 mg (single dose) 88.6% 62.9% 5.7% 12 mg (escalated) 97.2% 66.7% 8.3% Source: Jastreboff AM, Kaplan LM, Fras JP, et al

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Seek medical advice urgently if you experience chest pain, fainting, severe dizziness, shortness of breath, or a fast or irregular heartbeat

We have also learnedoften through failed clinical trialsthat simply suppressing inflammation does not translate into effective therapies