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During the initial treatment period with methylcobalamin, pulmonary edema and congestive heart failure have reportedly occurred early in treatment with parenteral methylcobalamin

Cyanocobalamin is also contraindicated in patients with cobalt hypersensitivity because cyanocobalamin contains cobalt

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Magnesium Chloride: Supports muscle relaxation, nerve function, and electrolyte balance

The anhydrous form of the compound is highly hygroscopic