Whilst vitamin B12 toxicity is exceptionally rare, very high levels from supplements or injections have been associated with skin reactions such as acne-like eruptions
For those, generally, we use Vbeam, which is a pulse-dyed laser that is specifically attracted to red pigment
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In addition, the follow-up period after treatment was relatively short
Once reconstituted, the liquid solution must be continuously refrigerated at 4C to prevent degradation
What warrants attention and a call to the clinic: persistent nausea beyond the first 10 days, injection site reactions that worsen rather than resolve, or any signs of systemic allergic response