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If you have an active autoimmune diagnosis, Dr

Rare Stop receiving METHYCOBAL INJECTION and contact your doctor immediately if you experience any of the following side effects: Signs of severe allergic reactions such as wheezing, chest tightness, fever, itching, bad cough, blue/grey skin colour, seizures, swelling of the face, lips, tongue, or throat, and/or swelling/pain in the leg or arm

Pernicious anemia is now understood to be fundamentally an autoimmune disorder that begins with an autoimmune gastritis in which antiparietal cell antibodies produce atrophic gastritis with a resultant decline in intrinsic factor production, evolving over years or even decades (139)
