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GI Tract Left upper abdominal pain, splenomegaly (enlarged spleen) epigastric tenderness, nausea, vomiting, diarrhea and/or constipation, abdominal cramping, bloating, non-cardiac chest pain, malabsorption, GERD/acid reflux, cyclic vomiting syndrome, colonic polyps, and gastric polyps

ADVICE Treatments must be avoided in those with known allergies to thioctic acid, vitamin C or glutathione

Feb 18, 2026 Twenty units on a syringe can mean wildly different things depending on what is inside the vial

Vitamin B12 Injections are available in multiple concentrations: 0.5mg/ml, 1mg/ml, 0.5mg/2ml, and 1mg/2ml

10.1016/0014-5793(87)81458-8 196 MoosmannB.BehlC