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Y.LinY.et al (2020)

Sublingual methylcobalamin treatment is as effective as intramuscular and peroral cyanocobalamin in children age 0-3 years

These may include injection site discomfort or mild swelling, occasional headache, or mild fatigue, particularly with appropriate dosing and patient preparation including adequate hydration

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Heart Palpitations: Anemia may lead to an increased heart rate or palpitations