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The rash might not be anything to worry about, but it could be a sign of a serious allergic reaction, especially if combined with difficulty breathing
In the case of suspected cobalt hypersensitivity, an intradermal test dose should be administered because anaphylactic shock and death have followed parenteral administration of cyanocobalamin
I have also included oral folate supplements, probiotics and have expanded my diet (but still excluding caffeine, alcohol and sugar)
Tolerance, food intake, and genetics also contribute to these differences.
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