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The MHRA product information for hydroxocobalamin preparations lists several recognised side effects that patients should be aware of before commencing treatment

PMID 17991676

Yu T, Wang YT, Chen P, Li YH, Chen YX, Zeng H, Yu AM, Huang M, Bi HC (2015) Effects of nicotinamide N -methyltransferase on PANC-1 cells proliferation, metastatic potential and survival under metabolic stress

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Follow-up with specialists If sciatic nerve injury or muscle damage is suspected, a neurologist or physical therapist may be needed for further evaluation and treatment