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However, the timing can significantly influence your subjective experience, particularly regarding side effects like fatigue or indigestion
In such cases, no additional PPSV23 doses are recommended every 5 years, and the total number of PPSV23 doses should not exceed three, including one final dose after age 65, spaced at least 5 years from the second PPSV23 dose
Vitamin B12 deficiency can develop over 3-4 years due to substantial liver stores of cobalamin
Patients with questionable past reactions should obtain detailed medical records to clarify whether the response was a true allergy versus expected side effects like nausea or injection-site irritation
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