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Review the result itself, the direction of change, the size of the change, associated symptoms, and the timing relative to medication initiation or dose escalation

Methylcobalamin is the most bio-available type of Vitamin B12, which means the body absorbs it more easily

Signs of a severe allergic reaction (anaphylaxis) include: Skin rash, hives, or severe itching Swelling of the face, lips, tongue, or throat Difficulty breathing or wheezing A rapid heartbeat or a sudden drop in blood pressure If you ever develop swelling of the face or throat, trouble breathing, or other signs of a severe reaction after any injection, treat it as an emergency and call 911

Even if the authors emphasized local reactions in the paper, I was tuned to the other systemic reactions listed in Table 1 and the treatments the patients took