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Cobalamin (vitamin B12) deficiency - investigation & management

Side Effects: Itching Rash Hives Swelling of face, lips, tongue, or throat Difficulty breathing Dizziness or headache (mild) Nausea or upset stomach (mild) Low potassium levels (hypokalemia, rare with prolonged use) Dosages: Vitamin B12 Deficiency Treatment:Initial treatment dosages often range from 1000 mcg to 5000 mcg injected intramuscularly.Frequency might start with injections every other day or once a week, depending on the severity of the deficiency.Once levels improve, the frequency may be reduced to maintenance injections, typically once a month

Some people find that one compound suits their long-term tolerability profile better than the other, and switching can restart progress that has stalled

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