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[5] [6] Cyanocobalamin is generally well tolerated
These side effects vary between different types of CD38 inhibitors due to different mechanisms of inhibition, effect on the cyclase vs NADase activity of CD38, tissue distribution, and pharmacokinetic profiles

These side effects include: Headaches Chest tightness Euphoric feelings Palpitations Dizziness Nasopharyngitis Cough Fatigue These side effects were seen in obese people who were taking this medication
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The risk of placental abruption may also be increased

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