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In rare cases, vaccine-related arm pain can signify a more serious reaction, such as SIRVA, allergic reaction, or infection

PLP serves as a coenzyme in over one hndred enzymatic reactions, playing a crucial role in amino acid metabolism, neurotransmitter synthesis, gluconeogenesis, and lipid and carbohydrate metabolism

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however, this situation might indicate abnormally high exposure levels (Ornoy et al., 2015)

Vitamin B12 deficiency affects neurological and haematological systems, with symptoms including paraesthesia, cognitive impairment, fatigue, and glossitis