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If IM was prescribed, use a longer needle next time or switch to a leaner site like the vastus lateralis

[1] In moderate deficiencies, feeling tired, feeling faint, mouth ulcers, rapid breathing, upset stomach, pallor, hair loss, decreased ability to think and joint pain and the beginning of neurological symptoms, including abnormal sensations such as, numbness and tingling, and tinnitus may occur

Impaired Autophagy Promotes Hair Loss in the C3H/HeJ Mouse Model of Alopecia Areata

In the UK, adults with confirmed B12 deficiency and neurological symptoms typically receive hydroxocobalamin injections1 mg intramuscularly on alternate days until symptoms stabilise, followed by maintenance doses every two months

Reducing the risk of metabolic diseases: Inhibiting NNMT may counteract the adverse metabolic changes associated with obesity, such as fatty liver disease

The panel agreed that initial treatment should be parenteral for severe cases, while high-dose oral B12 can be considered for maintenance