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While the James study has shown improvement, practical experience and clinical observation has shown that many children using methylcobalamin develop substantially increased irritability after using methylcobalamin by injection

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[PubMed] [Google Scholar] 168.He S, Li Q, Jiang X, Lu X, Feng F, Qu W, et al

Make sure the tip of the needle is in the medication

When patients present with a high anion gap metabolic acidosis, clinicians should first exclude common, treatable causes (eg, lactic acidosis, co-ingested drug administration, and ketoacidosis)

doi: 10.3390/foods6100092 19 ShobaGJoyDJosephTMajeedMRajendranRSrinivasPSSR