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Mood: In rare cases, double daily doses were reported to negatively affect activity levels

However, side effects and complications can include: itchy skin low blood pressure slowed breathing loss of bladder control fever flushed chest or face anxiety difficulty sleeping changes in the menstrual cycle diarrhea nausea temporary increase in blood sugar In severe breathing difficulty nerve damage prolonged numbness abscesses bleeding allergic reaction adrenal suppression epidural bruising infection spinal headache pain in the lower limbs or back paralysis Doctors may use a nerve block spinal injection to treat acute or chronic pain that may originate in the spine and can radiate to the arms, legs, buttocks, and neck

& Gavin, T

2019;10:e00052

Within 5 to 8 days after the dose, the infants experienced significantly increased hemoglobin and reticulocyte counts, normoblastic erythropoiesis, improved mental status, regression of abnormal skin pigmentation, and reduction in tremors.[9] Three hundred sixty-six pregnant women in India received 50 mcg of oral vitamin B 12 or placebo capsules once daily beginning during their first trimester of pregnancy and continuing until 6 weeks postpartum

Coit, P