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Methylcobalamin is the most bio-available type of Vitamin B12, which means the body absorbs it more easily

Signs of a severe allergic reaction (anaphylaxis) include: Skin rash, hives, or severe itching Swelling of the face, lips, tongue, or throat Difficulty breathing or wheezing A rapid heartbeat or a sudden drop in blood pressure If you ever develop swelling of the face or throat, trouble breathing, or other signs of a severe reaction after any injection, treat it as an emergency and call 911

Even if the authors emphasized local reactions in the paper, I was tuned to the other systemic reactions listed in Table 1 and the treatments the patients took

Review the result itself, the direction of change, the size of the change, associated symptoms, and the timing relative to medication initiation or dose escalation