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Hypersensitivity reactions may manifest in various ways, ranging from local injection site reactions such as erythema, swelling, and pruritus to more severe systemic reactions including angioedema, anaphylaxis, or generalized urticaria

You have nausea, vomiting, or diarrhea

Various secondary alkyl halides are then readily attacked by the modified B 12s to give the corresponding stable cobalamin analogs

Colorless to slightly yellow for FDA-approved pens