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Inform your doctor if you experience pain, swelling, or irritation at the injection site

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These are those with HIV-associated lipodystrophy

[21] Within cells, cyanocobalamin is converted to methylcobalamin and 5- deoxyadenosylcobalamin, coenzymes that participate respectively in homocysteine remethylation to methionine and in the isomerization of methylmalonyl-CoA to succinyl CoA, reactions essential for DNA synthesis, erythropoiesis, and myelin maintenance

Metabolic Acidosis: In cases of high-volume administration and benzyl alcohol accumulation