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Hydroxocobalamin, when given for cyanide poisoning at the recommended dose of 5g, may cause a temporary reddish discolouration of the skin, plasma, urine, and mucous membranes

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Other lipotropic injection side effects include: Headaches and light headedness Stomach upsets such as mild nausea and mild diarrhea Allergic reactions (itching, hives, shortness of breath, wheezing, swelling of the tongue, throat, or mouth) although rare, can also occur

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Some plans might cover NAD therapy partially if deemed as a medical necessity or for addiction recovery