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Common side effects include: Injection site reactions mild pain, redness, swelling, or bruising at the injection site, typically resolving within a few days Headache usually transient and manageable with standard analgesia Nausea or dizziness particularly in the initial treatment phase Skin reactions including itching, mild rash, or acneiform eruptions Temporary urine discolouration red or orange urine is harmless and expected Diarrhoea or flushing usually mild and self-limiting In patients with severe megaloblastic anaemia, low potassium levels (hypokalaemia) may occur during initial intensive treatment, but this is uncommon in routine maintenance therapy

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Within minutes of her third injection in June 2001, she felt similar chest discom- fort and developed pruritus of the arms and legs, but no rash

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For instance, in February 2024, Lupin Pharmaceuticals Inc., an India-based pharmaceutical company, launched cyanocobalamin nasal spray, 500 mcg/spray, a non-invasive alternative for vitamin B12 supplementation