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Actual procedure time may be more or less depending on how many injections are being given in total

5 Clinically necrotic and rapidly progressive severe local reactions to vaccines containing aluminum salts are very rare

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However, two other forms hydroxocobalamin and cyanocobalamin become biologically active after they are converted to methylcobalamin or 5-deoxy adenosylcobalamin, said Dr Aravinda G M, consultant, internal medicine, Manipal Hospital, Jayanagar, Bangalore