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Common Side Effects of Dexamethasone, Lidocaine HCl, Thiamine HCl & Cyanocobalamin Injection Mild injection site reactions (redness, pain) Dizziness, drowsiness Rare: Allergic reaction to any of the components Long-term corticosteroid use may lead to adrenal suppression (monitor accordingly) Note: Should only be administered under healthcare supervision

For example, a 10mg/mL solution is often easier to dose accurately than a 50mg/mL solution

Concerns about IGF-1 include potential effects on cancer risk, acromegalic changes with chronic elevation, and metabolic disruption

Methionine synthase catalyzes the transfer of a methyl group to S-adenosyl-homocysteine, generating S-adenosyl-methionine and hence methionine, while methylmalonyl-CoA mutase catalyzes the isomerization of methylmalonyl-CoA to succinyl-CoA, which then enters the citric acid cycle (Figure 1) [4,5,6]