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This documentation helps establish medical necessity for treatments and supports insurance reimbursement for necessary medical services and equipment

doi:10.1016/bs.vh.2022.01.001

Sensitivity to cobalt and/or Vitamin B12 is a contraindication Clients with chronic liver and/or kidney dysfunction, Lebars disease (hereditary eye disease) or abnormal red blood cells (megaloblastic anaemia) should not take frequent B12 injections

Before injecting the pen, check the expiration date on the back of the pen, confirm the prescribed dose, and see if the medicine is clear and colorless in the pen window

Different injections given in close sequence can complicate local healing and make it harder to tell where a reaction comes from

Some may notice reduced shedding within a few weeks, but visible improvement in thickness and strength may take several months