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Both options can be effective depending on patient goals, treatment plans, and physician recommendations

[53] Moore KL, et al

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Contact your GP immediately, call NHS 111, or attend A&E if you develop: Irregular heartbeat or palpitations that persist Chest pain or pressure Severe breathlessness Significant leg swelling These symptoms require assessment to determine their cause, which may or may not be related to your B12 treatment

There is a possibility of severe cases of infection during a secondary infection with SARS-COV-2, similar to DENV serotypes as reported previously, due to the risk of cross-reactive antibodies potentially capable of promoting ADE