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Extended follow-up studies would identify any delayed adverse effects and establish whether therapeutic benefits persist, diminish, or require continued treatment for maintenance

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Most of the side effects of B12 injections are mild, including diarrhea or redness or temporary swelling at the injection site

Neurotoxicology 92:6776 Khairy A, Hammoda HM, Metwally AM, Zaatout HH, Ibrahim RS (2025) Therapeutic potential of Medicago sativa (Alfalfa): A comprehensive review of its bioactive compounds and pharmacological properties