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Nausea, vomiting, and constipation are most common during initial weeks and dose increases, typically improving within days to weeks as the body adapts

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While fiber is essential, consuming large volumes of high-fiber foods when nausea is prominent may worsen discomfort

When combined, youll often see faster gains and less discomfort during recovery

"Role of hydroxocobalamin in acute cyanide poisoning" (PDF)

Clinical DDx: Microscopic Features: [17] Compound nevus or intradermal nevus with prominent dermal fibrosis