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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

Myasthenia Gravis (noted in moderate-to-severe orbitopathy) Severe corneal exposure, optic nerve compression Nerve Compression Brachial Plexus Injuries (sight threatening) Myxedema Myxedema A condition characterized by a dry, waxy type of swelling (edema) with abnormal deposits of mucopolysaccharides in the skin and other tissues

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