For combined epicondylitis, consider increasing total daily dose to 0.5 mg and alternating injection sites between medial and lateral regions
Possible adverse effects may include: Injection site reactions : Redness, swelling, irritation, or discomfort Gastrointestinal symptoms : Nausea, vomiting, stomach cramps, or diarrhea Headaches or dizziness Allergic reactions : Rash, itching, shortness of breath, or facial swelling (rare) Increased heart rate or anxiety (typically temporary from B-vitamins) Fatigue or weakness if used improperly Elevated liver enzymes when taken in excess particularly with methionine or choline Insomnia if taken late in the day due to increased energy levels Who should avoid or use caution
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Frequency and Duration of IM Treatment How often and for how long you get shots depends on why you need them and how youre doing
These injections, usually containing hydroxocobalamin or cyanocobalamin, are administered intramuscularly, thus bypassing the digestive system where the absorption problem occurs
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