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Pernicious anemia is associated with an increased incidence of carcinoma of the stomach, but this is believed to be related to the underlying pathology and not to treatment with cyanocobalamin

How to avoid it: Recognize that 5-Amino-1MQ is a small-molecule enzyme inhibitor

Perhaps in the future new treatments will come about that solve the issue permanently, but the current treatment options do require at least some maintenance over time to ensure your results continue

The Art, Science, and Technology of Pharmaceutical Compounding (6th ed.)

Fortunately, such reactions are extremely infrequent

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