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In addition, certain medications can reduce the absorption (and therefore the benefits) associated with B12
However, excessive administration may increase the risk of side effects such as headache, dizziness, nausea, or injection site reactions

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Appropriate trained and qualified staff may need to be deployed to these locations when time permits, and the capacity of general healthcare staff capacity to provide mental health and psychosocial support should be increased (see the mhGAP Humanitarian Intervention Guide)

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