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Common side effects include, but may not be limited to: pain or redness at the injection site mild diarrhea pruritus (itching) increased swelling joint pain dizziness headache nervousness or anxiety Serious side effects may include: allergic reactions peripheral vascular thrombosis hypokalemia (low potassium levels) pulmonary edema (fluid build-up around or in the lungs) thrombocytosis congestive heart failure There have been reports of anaphylactic shock and death after the parenteral administration of vitamin B12

If "clinical trial history" matters, AOD-9604 is the only one with Phase 2 human data

BPC-157 would still require a full New Drug Application (NDA) supported by adequate human clinical trials to achieve formal FDA approval