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Pediatric Use: Intake in children should be in the amount (0.5 to 3 mcg daily) recommended by the Food and Nutrition Board, National Academy of Science-National Research Council

Potential Side Effects Common Side Effects Injection site reactions: Mild pain, redness, or swelling at the injection site usually resolves quickly

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Elevation in homocysteine is expected with cobalamin deficiency due to reduced methionine synthase activity even in the face of extreme cobalamin deficiency

Standard dosing in clinical settings ranges from 250-500 mcg per day, usually administered in the morning on an empty stomach

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