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Symptoms can develop quickly and include: feeling faint or lightheaded difficulty breathing or wheezing rapid heartbeat confusion anxiety clammy skin collapsing or losing consciousness hives swelling stomach pain, nausea, or vomiting If you or someone nearby develops these symptoms, you should: Check to see whether they have an epinephrine pen
PMID: 36318925
Add slowly down the inner vial wall, gently swirl to dissolve, do not shake or vortex
This allows oral megadoses (e.g., 1,000 g or more daily) to raise serum B levels even in individuals with pernicious anemia or low stomach acid
This small percentage provides adequate amounts when the dose is sufficiently high
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