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Of the adverse experiences judged to be of "possible" relationship to the study drug, anxiety, incoordination, and nervousness were reported following intramuscular vitamin B12 and headache, nausea, and rhinitis were reported following dosing with Nascobal (Cyanocobalamin, USP) Gel for Intranasal Administration

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ALDH1A1 and ODC1, in particular, contribute to a tumour-promoting microenvironment, with high expression levels linked to poor prognosis 62,63

However, excessive use may increase the risk of side effects and requires immediate medical evaluation