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For severe reactions (hypertension, allergic response): Discontinue immediately and seek medical attention
Modern Nutrition in Health and Disease
This reaction has two metabolic consequences: it consumes SAM (the body's universal methyl donor) and it diverts nicotinamide away from the NAD+ salvage pathway
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Comparison of sublingual and intramuscular administration of vitamin B12 for the treatment of vitamin B12 deficiency in children
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