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Neurological effects and weakened immunity may further worsen skin issues

Chamle A et al., 2019), so all manipulations with methylcobalamin and its solutions are carried out in a dark room

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The BPOM-approved product information also lists known adverse effects and warnings, including common gastrointestinal side effects like nausea, vomiting, diarrhea, constipation, and abdominal pain

Recheck blood work including MCV, hgb (if anemic), serum B12, and homocysteine

Diagnostic Testing for B12 Status Testing is key to figuring out if someone has a B12 deficiency
