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Sudden Worsening of Heart Failure: In rare cases, rapid correction of severe anaemia can increase blood volume and strain the heart
However, it is important to note that methylcobalamin is less stable than cyanocobalamin, particularly when exposed to light, and may degrade more rapidly in storage
According to the American Association of Clinical Endocrinologists and American College of Endocrinology (AACE/ACE) Obesity Clinical Practice Guidelines, all patients undergoing weight loss therapy should be monitored for mood disorders, depression, and suicidal ideation
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