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Visible particles: Floating particles, crystals, or sediment indicate the medication has degraded or been contaminated

130 (4S Suppl): 1016S1022S

Carlton et al

The heart and skeletal muscles, as well as many other tissues, depend on fatty acid oxidation as a source of energy

That's why it's important to let your doctor know if you have any of the following conditions before you're prescribed hydroxocobalamin: If you've had an allergic reaction to hydroxocobalamin or any other medicines in the past If you've been diagnosed with low levels of potassium If you have an irregular or fast heartbeat Once you've started taking hydroxocobalamin, you may have some side effects such as pain, swelling, or itchy skin at the point where the syringe was injected