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Systemic reactions may include gastrointestinal disturbances (nausea, diarrhea, abdominal cramps) when large doses are administered intravenously
Injections can still be considered in specific circumstances, such as when a neurological or haematological condition could deteriorate rapidly, or when there are serious concerns that oral treatment will not be taken reliably
Other uses of cyanocobalamin include treating memory loss, fatigue, neurological disorders, depression, and fatigue associated with certain chronic conditions such as HIV and diabetes
The principle of its treatment should primarily be to eliminate blood stasis, to promote regeneration of blood, and to activate channels and collaterals (24)