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The clinical consequences could range from local inflammation or rash through to serious health issues, such as systemic hypersensitivity, including anaphylaxis, or antibody formation

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Autoimmune Conditions: Some autoimmune diseases, like ALPS, may influence B12 transport and metabolism, leading to elevated serum levels

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Cyanocobalamin : This is the of vitamin B synthetic produced form 12 commonly found in supplements and fortified foods

When HCG is administered alongside other fertility treatments, such as clomiphene citrate or menotropins, the risk of ovarian hyperstimulation syndrome (OHSS) increases, requiring careful monitoring by reproductive specialists