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In addition, once-daily administration of 1 mg oral hydroxocobalamine caused the studied children's levels of homocysteine to increase and their levels of methionine to decrease, while the reverse happened when hydroxocobalamine was given intramuscularly

Gut symptoms may involve motility, inflammation, infection, immune reactions, microbiome changes, or medication effects

Pain presents on the top of the wrist and may radiate up the forearm