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The relative lack of side effects is particularly important for those with recurring or chronic pain, as it lowers the risks associated with multiple injections

Serious reactions are extremely rare

Visible fat loss typically appears around week 4 to 6

[13] Chloramphenicol has been shown to blunt reticulocyte response to cyanocobalamin, while ethanol, colchicine, and nitrous oxide interfere with cobalamin metabolism or utilization, each warranting clinician awareness when evaluating suboptimal treatment outcomes

Rare side effects: itching, exanthema, chills, fever, hot flushes, nausea, dizziness, and very rarely anaphylaxis

In the context of chronic illness, this scavenging ability takes on a different, yet equally vital, role