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The main complaint is mild to moderate pain, particularly in thin people (6)

For hematocrit and reticulocyte counts, recommendations are to repeat these tests daily from the 5th to 7th days of treatment and then frequently until the hematocrit returns to a normal range.[9][16][22] Both serum potassium concentrations and the platelet count need to be monitored carefully after parenteral administration of cyanocobalamin

Chloroform-induced alteration of glutathione S-transferase activity [PMID: 3966926] Laboratory literature summary: Chloroform-induced alteration of glutathione S-transferase activity

but if it is you will probably need " loading doses " of 1mg every other day for two weeks or until there is no further improvement in your symptoms

For reconstitution procedures, see our reconstitution guide