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Common reported effects in clinical use include mild injection site reactions with subcutaneous administration, occasional digestive changes when taken orally, and rare reports of fatigue or dizziness

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Generics are less expensive because generic manufacturers don't have to invest large sums of money to develop a drug

[17] Physiologic B12 requirements increase during gestation, and parenteral cyanocobalamin is considered appropriate when dietary intake or intestinal absorption is inadequate

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Its rare for someone to be a qualified candidate for this procedure, but it may be an option discussed by your plastic surgeon