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doi: 10.1016/s0190-9622(97)70069-0

Commonly reported minor adverse effects include nausea, headache, somnolence (drowsiness), and mild paresthesia (tingling or numbness) in the extremities

ImerslundGrasbeck syndrome in a Chinese family with distinct skin lesions refractory to vitamin B12

Increased plasma acetate may contribute to this effect (1, 113)
