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Pancreatitis, gallbladder concerns, kidney issues, and severe allergic reactions may all be possible, but are less of a concern

The Endocrine Society publishes clinical practice guidelines on obesity management that include sections on incretin-based therapies

In cats receiving gene immunotherapy by the peritumoural administration of histo-incompatible Vero cells expressing human interleukin-2, in addition to surgery and radiation therapy, only five of 16 FISS cats (31%) had FISS recurrence, while eleven of 16 control cats (69%) that only had surgery and radiation therapy, but no immunotherapy, had FISS recurrence within 16 months (Quintin-Colonna et al., 1996)

A serum cobalamin level is sometimes requested approximately 1 month after the initial injectable dose and dosing may be adjusted if levels are still low