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That doesn't make it reckless if you're monitoring appropriately, but it does mean the risk-benefit calculation is yours to make with incomplete information
There are some groups who may benefit from or need to supplement due to a B12 deficiency
Calculations must use the form and mass basis stated on the lot label and COA
Side effects are rare but may include mild discomfort at the injection site, nausea, or digestive upset
Doctors choose hydroxocobalamin based on the patients needs and how they react to treatment
Thus, such patients with should be treated with IM replacement, to favor rapid replenishment of vitamin B12 stores and to avoid irreversible consequences of the vitamin deficiency
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