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When to talk to your clinician before starting Get medical guidance first if you have inflammatory bowel disease, recurrent infections, are on chemotherapy or high-dose steroids, are pregnant, or have severe persistent GI symptoms (vomiting, inability to keep fluids down, black stools, severe abdominal pain)

doi: 10.1111/BJH.12185

The most commonly reported effects are mild injection site reactions (redness, minor swelling), occasional headaches during the first few days, and rare instances of mild fatigue

95% CI 0.740.81)