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The cumulative literature represents an active expansion-era research stream where new findings appear regularly across the international peer-reviewed publication record

[65] In some severe cases of anemia, a blood transfusion may be needed to resolve haematological effects

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Andersson, Emmanuel Shapira, Biochemical and clinical response to hydroxocobalamin versus cyanocobalamin treatment in patients with methylmalonic acidemia and homocystinuria (cblC), The Journal of Pediatrics, Volume 132, Issue 1, January 1998, Pages 121-124, ISSN 0022-3476, Okuda K, Yashima K, Kitazaki T, Takara I

It doesnt produce the jittery, anxious feelings associated with stimulant-based fat-loss compounds, nor does it carry the cardiovascular risks of some appetite suppressants