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Serious adverse events are rare but include hyperpigmentation of existing moles (monitor any changes in size, shape, or color), systemic allergic reactions (urticaria, angioedema), and transient hypertension in predisposed individuals

In a case series study from New York of people with overt neurological symptoms from B12 malabsorption, MMA levels ranged from 755 to 187,000 nmol/l (Lindenbaum, 1988)

Changes in allergenicity and digestibility of squid tropomyosin during the Maillard reaction with ribose

But over time, patterns emerged that werent as visible at first

48, 252 Barkhof, F

Frontiers in Public Health , 12 .