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It is typically mild, described as a queasy feeling rather than active vomiting, and peaks 12 to 24 hours after injection

Sugumaran M, Nellaiappan K (2000) Characterization of a new phenoloxidase inhibitor from the cuticle of Manduca sexta

2018;13(7):e0199373

Side effects of Methycobal Injection (Major & minor) Nausea and vomiting Diarrhea Decreased appetite (rare) Dizziness (rare) Headache (rare) Skin rash Chest pain and discomfort (rare) When not to use

The FDA-approved starting dose is 2.5 mg

Candidates for TRT typically have confirmed low testosterone levels through blood testing, along with symptoms that impact quality of life