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Nausea affects approximately 15-20% of patients, with vomiting (5-9%), diarrhea (8%) and abdominal pain (6-7%) also common

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NICE Clinical Knowledge Summaries advise oral cyanocobalamin for dietary deficiency, while intramuscular hydroxocobalamin is recommended for pernicious anaemia or malabsorption syndromes

And while still emerging, early evidence suggests these medications may improve mitochondrial function, supporting cellular energy production and contributing to healthier aging from the inside out

Verh Dtsch Ges Inn Med 80:1678-80, 1974

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