Common side effects include: Injection site reactions mild pain, redness, swelling, or bruising at the injection site, typically resolving within a few days Headache usually transient and manageable with standard analgesia Nausea or dizziness particularly in the initial treatment phase Skin reactions including itching, mild rash, or acneiform eruptions Temporary urine discolouration red or orange urine is harmless and expected Diarrhoea or flushing usually mild and self-limiting In patients with severe megaloblastic anaemia, low potassium levels (hypokalaemia) may occur during initial intensive treatment, but this is uncommon in routine maintenance therapy
Do not confuse tiny air bubbles (which are normal after drawing from the vial) with particles
Certain genetic variants affecting collagen production and vessel elasticity may predispose some individuals to more frequent or severe bruising
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Bioorg Med Chem 17 , 26452653, (2009)