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Nausea is the most frequently reported adverse effect, potentially affecting thirty to forty percent of patients at some point during treatment, though the intensity typically diminishes over time as tolerance develops

The NHS guidance on hydroxocobalamin and the BNF entry are the references to follow, alongside the leaflet in your pack

It is also used to treat fatigue, anemia, and numbness or tingling sensation in the feet and hands

Adults: 2.4 mcg/day Pregnant adults: 2.6 mcg/day Breastfeeding adults: 2.8 mcg/day Some people (like older adults, vegans, or those with absorption issues) may need supplements or fortified foods

Lipotropic Injections Struggling to lose weight with a proper diet and exercise