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aphasia, tingling, ataxia, mood disorders, depression, cognitive problems) are present, it is recommended to give frequent injections twice a week, as is clearly defined in the package leaflet of hydroxocobalamine
The physician should provide information to the patient about the signs and symptoms of hepatotoxiciy that should cause alarm (e.g., nausea, fatigue, lethargy, pruritus, jaundice, right upper quadrant tenderness and "flu-like" symptoms)
Without this step, the bolus would remain too acidic to bind with intrinsic factor, a protein that pairs with B12 so that the body can use it
Current experimental literature does not indicate direct hepatotoxic effects under controlled research conditions
For example, if you have a BAC of .10, it means that .1% of your bloodstream is alcohol
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