Overall, evidence suggests differences in absorption and retention between methylcobalamin and cyanocobalamin
Niafar, Mitra, et al
Peyot, M.-L
Reported side effects of corticosteroids include: Hydroelectrolytic disorders: sodium retention, potassium loss, hypokalemic alkalosis, fluid retention, congestive heart failure in susceptible patients, hypertension Musculoskeletal: muscle weakness, myopathy, loss of muscle mass, aggravation of myasthenic symptoms in myasthenia gravis, osteoporosis, vertebral compression fractures, aseptic necrosis of the head of the femur and humerus, pathologic fracture of long bones, tendon rupture Dermatological: impaired wound healing, atrophy and thinning of the skin, fragile skin, petechiae and ecchymoses, facial erythema, increased sweating, suppression of reactions to skin tests, allergic dermatitis, urticaria, and angioedema
It is difficult to design a vaccine that can induce both strong antibody and T-cell responses, but it is likely that a coordinated effort employing both arms of the adaptive immune response will be most effective
Inform your doctor if these effects bother you or do not go away