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In clinic settings, emergency measures (like epinephrine and antihistamines) should be readily available in the rare event of an allergic reaction
The safety database, while extensive for clinical trials, represents limited duration and population diversity compared to the variability encountered in clinical practice
As you can see, the choice boils down to free, needs-based treatment versus paying for immediate access
Costa, J.M
Afterward, you'll move to a maintenance schedule, which for some conditions like pernicious anemia, could be a monthly injection for life
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