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The distinguishing features are the pain radiating to the back and the presence of fever, neither of which belongs to routine gastrointestinal adaptation

Consultation: We begin with a comprehensive skin assessment and medical screening

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No, the article is explicit that no adverse outcomes have been reported but that this reflects limited reporting rather than proven safety

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Serum basal gastrin concentrations in Hp positive adults averaged 53.6 6.2 pmol/l and were significantly higher than those in the Hp-negative controls (31 4.2 pmol/l)