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1 mg cyanocobalamin, water for injections, sodium hydroxide for pH adjustment, sodium chloride, sodium dihydrogen phosphate 2 water At the beginning of the treatment, 1 ampoule of 1 ml vitamin B 12 Lichtenstein (corresponding to 1000 micrograms of cyanocobalamin) is administered twice a week in the first weeks after diagnosis

Possible reasons include: Dehydration Fluid loss can trigger headaches

[9] Patients should be advised to contact their healthcare provider if they experience any severe or persistent side effects, such as difficulty breathing, chest tightness, severe rash, or dizziness

Based on current research and practical experience from health professionals, several timing strategies have emerged as most effective