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Urgent medical attention is required for severe or persistent abdominal pain (especially if radiating to the back), persistent vomiting preventing adequate fluid intake, signs of dehydration, blood in vomit, black stools, or jaundice, as these may indicate serious conditions such as pancreatitis or gallbladder disease

Not yet recruiting means the trial is registered but has not started

Methylcobalamin is the bioactive form of B12, and is often preferred in wellness settings for its superior absorption and neurological benefits

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