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An addition of Vitamin B12 generally doesnt change the side effect profile but may occasionally cause mild injection site reactions (like redness or soreness) or, in very rare cases, allergic sensitization

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These include: Nausea (affecting up to 1 in 5 patients) usually most pronounced during dose escalation and often improves over time Diarrhoea may be mild to moderate and typically transient Vomiting less common than nausea but can occur, particularly in the first few weeks Constipation resulting from slowed gastric emptying Abdominal pain and bloating often related to delayed gastric emptying Reduced appetite this is an intended therapeutic effect but can be pronounced The frequency of these side effects tends to be dose-dependent, with higher rates at higher doses

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Maxmala 50 Capsule is a combination of three medicines: Pregabalin, Methylcobalamin and Alpha Lipoic Acid