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One potential risk is the induction of nonspecific immune responses against antigens that are also expressed on normal tissues, since many tumor-associated antigens are not strictly tumor-specific

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1 Asymptomatic autoimmune gastritis likely precedes gastric atrophy by 10 to 20 years, followed by the onset of iron-deficiency anemia that occurs as early as 20 years before vitamin B 12 deficiency pernicious anemia

Both fall under WADA Code S0, the non-approved-substances category

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Concurrent administration with tetracycline, chloramphenicol, macrolides and lincosamides