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it is also widely available as its hydrochloride salt

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Tantai X, Liu Y, Yeo YH, Praktiknjo M, Mauro E, Hamaguchi Y, et al

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Systemic side effects are rare but include transient nausea (510% of patients, typically within the first hour post-injection) and allergic reactions to methylcobalamin or preservatives in compounded formulations

Declared that medications should be used alongside intensive behavioral therapy , not instead of it, says John