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Bliddal et al
[1] [2] Patients should be monitored for serious adverse effects including: Thyroid tumors (boxed warning): Report symptoms such as neck mass, dysphagia, dyspnea, or persistent hoarseness Pancreatitis: Discontinue if suspected
If your next dose is less than 48 hours away, skip the missed one and continue with your regular weekly schedule
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This can increase your need for B12 supplementation, and injections may be especially helpful in these cases
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