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However, in rare cases when a vaccine is administered improperly, a person may experience more severe symptoms, including intense shoulder pain classified as SIRVA

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B12 shots work faster than oral sources of B12 and therefore are recommended for individuals who need rapid improvement

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*Journal of Clinical Endocrinology & Metabolism*, 96(7), 1911-1930

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Miscellaneous Extraintestinal Manifestations and Complications of Inflammatory Bowel Disease Renal Nephrolithiasis (oxalate, urate) Glomerulonephritis (rare) Right ureteral obstruction Urinary system fistulas (eg, enterovesical, colovesical, rectourethral) Tubulointerstitial nephritis (5-aminosalicylates) Secondary amyloidosis Hematologic Anemia Iron deficiency Vitamin B12 deficiency Folic acid deficiency Anemia of chronic disease Autoimmune hemolytic anemia Neoplastic Myelodysplastic syndrome (rare) Promyelocytic leukemia (rare) Cardiopulmonary Pericarditis (extraintestinal manifestation or drug-induced) Myocarditis Conduction abnormalities Pneumonitis Eosinophilic pneumonia Cryptogenic organizing pneumonia Bronchiectasis, bronchiolitis, bronchitis, and subglottic stenosis Pancreatic Acute pancreatitis Drug-induced (purine analogues,5-aminosalicylates) Duodenal Crohn disease Granulomatous involvement of pancreas (rare) Chronic pancreatitis Autoimmune pancreatitis Thrombophilia Multifactorial Nephrolithiasis is a recognized problem for patients with CD, particularly ileal CD

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