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In practical terms, that shows up as fatigue that seems disproportionate to your effort, shortness of breath during workouts that used to feel manageable, and a general sense that your body isn't performing the way it should

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The risk of accidental muscle injection with a pre-filled pen is very low

IMPORTANT SAFETY INFORMATION Pemetrexed for Injection is contraindicated in patients with a history of severe hypersensitivity reaction to pemetrexed