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Contraindications Do Not Use If You Have a known hypersensitivity to cobalt or any ingredient in the formulation (rare) Have Lebers disease (hereditary optic nerve atrophy) cyanocobalamin can cause rapid optic nerve atrophy Warnings and Precautions Hypokalemia (low potassium): May occur during initial treatment of severe megaloblastic anemia

An uncommon side effect is inflammation and nodules at the injection site

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Regional Manufacturing Dynamics China dominates as the manufacturing and export hub for these components