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Noticeable results often happen within 8 to 12 weeks when combined with changes in diet and being more active
Malignancy of pancreas or bowel
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When hydroxocobalamin is given in high doses (such as during cyanide poisoning treatment), unique effects can be observed: patients often experience a transient reddening of the skin or mucous membranes and a reddish discoloration of the urine due to drug excretion
This side effect is usually temporary
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