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World J Hepatol

As soon as Various accidental trauma, or those with acute respiratory failure due to risk of death Specifically Pediatric patients with Prader-Willi syndrome who are seriously over weight, likewise have sleep apnea or a history of or existing severe breathing issues due to the risk of death

Many patients start to feel better within a few days to a week after starting methylcobalamin injections, especially if they were significantly deficient

Worsening neurological symptoms : Progressive weakness, worsening balance problems, or deteriorating cognitive function despite treatment requires urgent assessment