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Wainger, B

When to Call Your Provider Most first-week side effects are mild and manageable, but there are a few things that warrant a call to your healthcare provider: persistent vomiting that prevents you from keeping food or fluids down, severe abdominal pain (especially in the upper abdomen that radiates to your back), signs of an allergic reaction like swelling, difficulty breathing, or a rash, or any symptom that feels unusual or concerning to you

[110] Animals can convert cyanocobalamin and hydroxocobalamin to the bioactive forms adenosylcobalamin and methylcobalamin by enzymatically replacing the cyano or hydroxyl groups

eClinicalMedicine , 69 , 102475