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The most common are nausea, bloating, tiredness, constipation, and diarrhoea
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This subjective improvement could reflect placebo effect, improved overall nutritional status from paying more attention to diet, natural adaptation to the medication over time, or actual b12 repletion if deficiency existed
Cyanocobalamin Injection: MedlinePlus Drug Information
Patients who do not receive timely treatment usually have severe developmental delays and severe brain damage
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