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At position two, the amino acid alanine (Ala) is replaced with a modified amino acid called D-Alanine (D-Ala)
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The reported adverse reactions following parenteral administration of vitamin B12 include: Generalized: Anaphylaxis and death Cardiovascular: Pulmonary edema and congestive cardiac/heart failure during early treatment
Mild headaches, slight fatigue, or minor injection site irritation can occur as the body adjusts
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