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Persistent adverse effects after a B12 injection warrant evaluation rather than reassurance that its normal. How Should You Decide If B12 Injections Are Right for You

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[2] [1] For patients with neurological symptoms , hydroxocobalamin 1 mg is given intramuscularly on alternate days until no further improvement occurs, followed by maintenance injections every two months for life

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17 Routinely, assessment of B12 should occur in all women with vegetarian and vegan diets