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The viral infection could also cause rapid T lymphocytopenia with functional impairment of T cells, which may onset OxS, pro-inflammatory state, cytokine production, and apoptosis 166,167

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Potential Side Effects and Precautions While methylcobalamin injection is generally considered safe, some people might experience minor side effects, such as: Pain or redness at the injection site Mild diarrhea Headache or nausea Rare allergic reactions In patients with kidney issues or those on certain medications, methylcobalamin must be used cautiously