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Where neurological involvement is suspected, IM hydroxocobalamin must be started urgently without waiting for blood test results to prevent irreversible nerve damage

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These regimens may be also associated with potentially serious adverse effects, which may not be tolerated by the patients [10]

It is approved for use in treating claudication, a peripheral vascular disorder affecting the legs that is marked by ischemic pain, and is sometimes used to treat venous ulcers in the legs

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