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Polycythemia vera has also been reported with parenteral methylcobalamin

Phase 2 clinical trials published in 2023 reported mean resting heart rate increases of approximately 5 to 7 beats per minute at higher doses (8 mg and 12 mg weekly)

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Kidney Int 84(6):11081118 Agyemang K et al (2013) Recent advances in Astragalus membranaceus anti-diabetic research: pharmacological effects of its phytochemical constituents