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[1] [6] However, injectable therapy remains the first-line treatment in UK practice for pernicious anaemia and severe deficiency, as it bypasses absorption issues entirely

Less Common or Serious Side Effects In rare cases, patients may experience more significant side effects that require immediate medical attention, such as: Severe abdominal pain Signs of allergic reaction (swelling, rash, difficulty breathing) Persistent vomiting Symptoms of low blood sugar (shakiness, sweating, dizziness) If any of these occur, patients are advised to stop the medication and contact their provider right away

Ideally, this should be a professional who is open and transparent about the potential benefits and risks of the treatment

First, it is difficult to generalize the findings of this single-case study, especially for cases of MMNSTs that depend largely on patient-specific factors

Sci Rep 9:5999