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Initial assessment should include a comprehensive review of the patient's autoimmune diagnosis, current disease activity, medication regimen (particularly immunosuppressants and corticosteroids), and history of complications such as pancreatitis or gallbladder disease

"The usual safety precautions have been bypassed, in one way or another, and this increases the medical risk of using such a product." Dumont noted there's a good reason prescription drugs are tightly regulated, from the FDA approval process to how they are manufactured and prescribed