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Both cyanocobalamin and other forms of cobalamin can trigger these reactions, and the risk appears higher with parenteral (injection) administration compared to oral supplementation Khatrawi2022Sajan2023Ullah2018+1 MORE

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It is the fast action of the nervous system in response to the danger in the environment that stimulates the adrenal glands to secrete their hormones, epinephrine and norepinephrine

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