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Symptoms can develop quickly and include: feeling faint or lightheaded difficulty breathing or wheezing rapid heartbeat confusion anxiety clammy skin collapsing or losing consciousness hives swelling stomach pain, nausea, or vomiting If you or someone nearby develops these symptoms, you should: Check to see whether they have an epinephrine pen

To get a truer picture, they often check for high levels of methylmalonic acid (MMA) and homocysteine

It also pays some costs outside a hospital, such as skilled nursing facility stays, home health care, and hospice care

Note whether the color has changed since your last dose from this same vial