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Contact your healthcare provider promptly if you experience persistent or worsening pain at the injection site that does not resolve within a few hours, spreading redness or warmth extending beyond the immediate injection area, drainage or abscess formation, fever or systemic symptoms accompanying injection site reactions, or hardened nodules or lumps that persist for more than a few days

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Notably, they have demonstrated that the GVB can be disrupted by Salmonella infection and that is modified in celiac patients with elevated serum transaminases [4]