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Serotonin syndrome signs and symptoms may include mental status changes (e.g., agitation, hallucinations, delirium, and coma), autonomic instability (e.g., tachycardia, labile blood pressure, dizziness, diaphoresis, flushing, hyperthermia), neuromuscular symptoms (e.g., tremor, rigidity, myoclonus, hyperreflexia, incoordination), seizures, and/or gastrointestinal symptoms (e.g., nausea, vomiting, diarrhea)

Andres E, Dali-Youcef N, Vogel T, Serraj K, Zimmer J: Oral cobalamin (vitamin B(12)) treatment An update

Their findings consistently demonstrated a significant association between HHcy and increased risk of MetS

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Research references 10 mcg/kg in animals, and human practice typically uses 200 to 800 mcg per day