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However, rare reactions may include: Allergic Reactions Allergic Reactions Symptoms may include: swelling breathing difficulty severe rash These reactions are extremely rare but require immediate medical attention

doi: 10.3389/fphar.2020.579944 255 Sharifi-RadM.KumarN

It typically presents as macrocytic megaloblastic anemia and neurological impairments, including sensory and motor disfunctions, predominantly in the lower extremities, ataxia, and in more advanced stages cognitive decline progressing to dementia, as well as psychiatric disturbances (Green et al., 2017)

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