why can’t we eliminate side effects from certain drugs?
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Side effects are just normal effects except you don’t like them. Your question is kinda like “why can’t we eliminate smashing things from hammers and just keep the nail driving effect”. For example, chemotherapy is literally poison that kills off rapidly multiplying cells. Both cancer and hair follicles are in that category, so chemo -> baldness. If you want to keep your hair, you need an entirely different approach to attacking the cancer cells.
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