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Serotonin syndrome signs and symptoms may include mental status changes (e.g., agitation, hallucinations, delirium, and coma), autonomic instability (e.g., tachycardia, labile blood pressure, dizziness, diaphoresis, flushing, hyperthermia), neuromuscular symptoms (e.g., tremor, rigidity, myoclonus, hyperreflexia, incoordination), seizures, and/or gastrointestinal symptoms (e.g., nausea, vomiting, diarrhea)

Research references 10 mcg/kg in animals, and human practice typically uses 200 to 800 mcg per day

Understanding proper reconstitution technique prevents damage to the peptide during preparation

Andres E, Dali-Youcef N, Vogel T, Serraj K, Zimmer J: Oral cobalamin (vitamin B(12)) treatment An update