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The net effect: reduction of fat stores
Paraesthesia, balance problems, or cognitive difficulties may persist despite normalising blood counts
Microbial fermentation yields adenosylcobalamin, which is then converted to cyanocobalamin by the addition of potassium cyanide or thiocyanate in the presence of sodium nitrite and heat
Redness, itching, or mild irritation at the application site can occur, particularly during initial use or with higher concentrations
These symptoms can also occur with many other conditions, so a vitamin B12 injection should not be treated as a general energy boost
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