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Common side effects include: Injection site reactions mild pain, redness, swelling, or bruising at the injection site, typically resolving within a few days Headache usually transient and manageable with standard analgesia Nausea or dizziness particularly in the initial treatment phase Skin reactions including itching, mild rash, or acneiform eruptions Temporary urine discolouration red or orange urine is harmless and expected Diarrhoea or flushing usually mild and self-limiting In patients with severe megaloblastic anaemia, low potassium levels (hypokalaemia) may occur during initial intensive treatment, but this is uncommon in routine maintenance therapy

Detailed guidance on how to calculate peptide dosages provides step-by-step instructions for manual calculation methods

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B12 deficiency may cause diffuse hair shedding (telogen effluvium) by reducing oxygen delivery to hair follicles via megaloblastic anaemia

Taurine is essential for liver homeostasis and taurine deficiency in hepatocytes causes severe hepatic damage, followed by compensatory hepatocyte proliferation (216)