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Deficiency can be due to inadequate dietary intake, especially in vegans, but is otherwise more likely due to problems with absorption, which is more complex than that of other vitamins

However, treatment with this drug should be cautiously monitored because of adverse side-effects, such as dizziness, sleepiness, cognitive dysfunction, swelling, and weight gain

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For this reason cobalamin is the term used to refer to compounds having vitamin B 12 activity

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