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Table 11

Common side effects include: Injection site reactions mild pain, redness, swelling, or bruising at the injection site, typically resolving within a few days Headache usually transient and manageable with standard analgesia Nausea or dizziness particularly in the initial treatment phase Skin reactions including itching, mild rash, or acneiform eruptions Temporary urine discolouration red or orange urine is harmless and expected Diarrhoea or flushing usually mild and self-limiting In patients with severe megaloblastic anaemia, low potassium levels (hypokalaemia) may occur during initial intensive treatment, but this is uncommon in routine maintenance therapy

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According to Digestive System and Nutrient Needs of Meat Goats by Purdue Extension, Sulfur produces thiamine-like compounds called analogs that decrease the absorption of thiamine in the rumen. There are many possible sources of excessive sulfur, including: water sources, alfalfa, cruciferous plants, distillers grains, and corn, sugar beet, and sugar cane byproducts