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Small research studies and anecdotal clinical reports suggest that some people tolerate DSIP without major side effects, but standardized long-term safety studies do not exist

Phase III trials covered more than 800 participants and tracked side effects through 26 to 52 weeks of daily injections

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These patients often require B12 injections to maintain adequate levels regardless of dietary intake

Be aware that, although rare, mushrooms and mushroom supplements may trigger a rare autoimmune reaction resulting in muscle pain or weakness