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Prospective monitoring In daily practice, I often ask my patients with B12 deficiency to maintain a sheet with their most prominent symptoms
B12 can only be absorbed in the presence of IF
When to seek medical care Adults should seek medical care if they have unexplained fatigue, weakness, shortness of breath, dizziness, numbness or tingling in the hands or feet, balance problems, memory changes, or a sore tongue
For a subcutaneous B12 injection, a finer, shorter needle is used: around 25 to 27 gauge and half to five-eighths of an inch
Presented for research literature review only Hager H et al
Seek emergency medical attention (call 999) if you experience: Difficulty breathing or swallowing Swelling of the face, lips, tongue, or throat Widespread rash or hives developing rapidly Severe dizziness or feeling faint Chest tightness or wheezing Anaphylaxis to hydroxocobalamin is uncommon but documented in the product information
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