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The NHS side-effects guidance for hydroxocobalamin, the form used in the UK, lists nausea, headache, dizziness and injection-site reactions as known effects that usually pass on their own
The active species is the cation CHN at 159.21 g/mol, and it is supplied as the iodide salt, CHIN, molecular weight 286.11 g/mol, CAS 42464-96-0
Serum cobalamin levels do not strictly correlate with physiologic deficiency, in part because traditional assays measure total serum cobalamin, even though the fraction bound to transcobalamin II (holotranscobalamin II) is physiologically most important
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