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Although syncope or presyncope can occur with vasovagal syncope, its occurrence during exertion in an athlete is of particular concern because of the increased risk of malignant ventricular arrhythmia that may result in sudden cardiac death

It is used to treat and prevent vitamin B12 deficiency , megaloblastic anemia , and peripheral neuropathy (nerve damage) caused by diabetes, nutritional deficiencies, or certain medical conditions

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