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Triggering or Worsening Nausea/Abdominal Pain: The slowed stomach emptying can cause significant fullness, discomfort, and nausea, particularly during dose escalations

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Before receiving WALCOBAL 2500MCG INJECTION, inform your doctor if you have Leber's disease (an inherited form of vision loss) and/or are suffering from low potassium levels (with associated signs such as muscle twitches/cramps, low blood pressure), optic nerve disease (swelling and nerve damage to the eyes), and kidney and/or liver problems

The American journal of clinical nutrition , 96 (1), pp.123-132