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Spoilers (2)
James McAvoy was cast as Adam, but had to drop out due to personal conflicts. Joseph Gordon-Levitt replaced him after being called by Seth Rogen less than a week before shooting was scheduled to start. He accepted the role just two days before.
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Joseph Gordon-Levitt actually shaved his head during filming. Gordon-Levitt and Seth Rogen were improvising in character while the cameras kept rolling since the scene was not in the script.
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Adam is based on writer Will Reiser, who was diagnosed with cancer and later recovered. Seth Rogen, who plays Kyle, helped Reiser cope with his disease and convinced him to write a screenplay during their early 20s together.
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When Adam is listing things he has never done, one of them is that he has never visited Canada. That scene, as well as the majority of the rest of the movie, was shot in Canada.
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While being interviewed by Terry Gross on her National Public Radio program "Fresh Air," Will Reiser said that he gave Adam's character a job at a Seattle NPR station because Reiser is a big fan of NPR but he hadn't ever donated any money to one of their pledge drives.
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During a 2011 interview with "The A. V. Club," Anna Kendrick said that, while on the set, she often referred to her character as "the worst therapist in the world."
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Writer cameo Will Reiser: during Adam's party. He asks tell Adam "My Uncle had what you have".
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On one of the cubicle walls in the Seattle Public Radio offices, there is a small clipping visible from the free Seattle weekly newspaper "The Stranger."
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During a roundtable discussion with the cast, screenwriter Will Reiser revealed that Bryce Dallas Howard came up with the title of the film. The crew was skeptical about it when she first suggested it to them on the set of the art gallery scene. When she found out that the title had been changed to the one she suggested, she was surprised.
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Seth Rogen says he was actually on the toilet when Will Reiser told him he had cancer. As funny as the two of them thought this was, it was deemed too disgusting for the film.
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The suspension bridge seen in the opening scene is Vancouver's Lions Gate Bridge. This scene was shot at Stanley Park, where you can see the Burrard Inlet as well as the bridge. The bridge is the namesake for Lionsgate Entertainment, the studio that backed the film.
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Joseph Gordon-Levitt's second film beginning with the numbers 5-0, he previously starred in (500) Days of Summer in 2009.
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Actors Matt Frewer and Philip Baker Hall have both played cancer patients in previous films Watchmen and Magnolia.
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Kyle's (Seth Rogen) license plate is YVR 515. YVR is the airport code for Vancouver, BC, where the movie was shot.
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Spoilers
Kyle applies medicine and jokingly plays around with Adam's back wound. Seth Rogen did the same thing to screenwriter Will Reiser, who was diagnosed with cancer in his early 20s.
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Summit Entertainment wanted a kiss between Adam (Joseph Gordon-Levitt) and Kathryn (Anna Kendrick) at the end of the film. However the actors and crew agreed that it wouldn't feel right since they felt the movie was about the main character's journey with cancer rather than a love story. They almost filmed the scene to appease the studio, but Levitt pointed out that "if they gave the studio the option, they would use it." so they just refused to film it.
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