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Potential Side Effects Reported side effects may include: Injection site pain, redness, or irritation Mild diarrhea Itching or rash Headache, dizziness, and nausea Acneiform skin eruptions Hypokalemia (low potassium) see Warnings above Serious adverse reactions are uncommon but may occur

Neurologic manifestations will not be prevented with folic acid, and if not treated with vitamin B12, irreversible damage will result

Furthermore, succinyl CoA is necessary for the production of hemoglobin, the substance that carries oxygen in red blood cells

Paresthesias and gait disturbances may begin to improve within two weeks, although full recovery can take several months