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Appropriate caution should be exercised while treating severe megaloblastic anemia with cyanocobalamin as intense treatment may lead to hypokalemia and sudden death

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Seek medical advice for heavy bleeding (soaking through pads hourly), prolonged bleeding beyond seven days, severe pelvic pain, postmenopausal bleeding, or signs of anaemia such as extreme fatigue or dizziness

No serious long-term side effects have been reported from regular therapeutic use

Small molecule nicotinamide N-methyltransferase inhibitor activates muscle stem cells and progenitor cell function

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