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The possibility of lactic acidosis can increase in the presence of other conditions that cause a low level of oxygen in the blood or poor circulation (such as a recent stroke, congestive heart failure, or recent heart attack), heavy alcohol use, and dehydration[30]

If you are self-administering adalimumab your dosages will be delivered to you in loaded pens with a short needle under the cap

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It usually affects your buttocks and/or thighs, but can also appear in other areas, like your arms and tummy