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Note by PAS: The Nice Guideline referred to Pernicious Anaemia as autoimmune gastritis

After puncturing the rubber stopper for the first dose, the vial becomes a multi-dose container

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This is known as contact urticaria. If acute hives results from an allergic reaction, the cause may be: a medication, such as: some antibiotics some nonsteroidal anti-inflammatory drugs, such as aspirin angiotensin converting enzyme inhibitors, which are drugs for high blood pressure nuts, eggs, seafood, or another food allergen latex kiwi, banana, chestnuts, or mango, in people with a latex allergy some plants, including nettles, poison ivy, and poison oak additives in some foods, cosmetics, and other products Physical triggers A physical trigger other than an allergen can cause hives