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It remains questionable whether the development of hyperpigmentation is responsive to specific serum vitamin B12 levels [2]

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Possible side effects include: Mild pain, redness, or swelling at the injection site Headache or dizziness (usually transient) Nausea (uncommon) Hypokalaemia (low potassium) during initial treatment, particularly in severely deficient patients—this is rare but may require monitoring [1] [5] When to seek medical advice: Serious adverse reactions are extremely rare