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Today a consensus assesses a causal role to Helicobacter pylori in the development of chronic active gastritis (or type B gastritis), in the pathogenesis of duodenal ulcer, and a major contributing factor in the development of peptic ulcer disease. However, the Vmax value allopurinol side effects for gout for L-penicillamine was more than 2.5 times greater than the Vmax value for D-penicillamine.
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