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The safety record is generally placebo-like, but several specific findings deserve attention

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

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Some mild and short-lived side effects can include: Mild soreness or redness at the injection site A feeling of warmth after the injection A short-lived mild headache Feeling slightly flushed Serious reactions are very rare