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Vitamin B12, also known as hydroxocobalamin when used as an injectable medication, is a crucial water-soluble vitamin. It plays a vital role in the body's energy production, aiding in the utilization of fats and carbohydrates. Additionally, it is instrumental in the synthesis of proteins and DNA. While essential for maintaining blood and nerve cells, it also supports neurological functions. Naturally occurring in animal products, it can be found in foods like liver, fish, meat, eggs, and dairy. Some foods, like yeast extracts and certain cereals, are fortified with B12. Among the various forms of Vitamin B12 medications, hydroxocobalamin is recommended by the World Health Organisation due to its prolonged retention in the body, leading to fewer treatments over time.
· Extreme tiredness
· Lethargy
· Feeling faint
· Parasthesia (pins and needles)
· Sore tongue
· Mouth ulcers
· Muscle weakness
· Visual disturbances
· Mobility problems
· Confusion
· Poor memory
· Lack of judgement
· Depression
You should not have B12 injections if:
· You have an allergy to hydroxocobalamin or any of its ingredients.
· You have low potassium levels or medication that may reduce your potassium.
· You have other deficiencies, including folic acid or iron.
· You have a blood disorder.
Generally, side-effects are uncommon, often mild, and usually resolve within a few days of treatment. You may experience some pain, itching, redness or swelling at the injection site. This will usually settle quite quickly without any intervention, however, if you experience any prolonged side-effects, it is important to contact your practitioner for a review. Bruising is uncommon, but if it does occur, it may take up to 2 weeks to fully resolve.
Most people are suitable for Vitamin B12 injections. If you have very low levels of B12, this should be investigated further by your General Practitioner.
You may not be suitable for treatment if any of the following apply:
• If you are under the age of 18 years.
• If you are pregnant or breast-feeding.
• Previous allergy to hydroxocobalamin.
• If you have kidney problems or previously low potassium levels.
• If you have other deficiencies such as folic acid or iron.
• If you have any blood disorders.
• If you have a severe needle phobia. It is important to be honest about your medical history, and any medication taken, so that you can have a safe and effective treatment.
You should not have B12 injections if:
· You have an allergy to hydroxocobalamin or any of its ingredients.
· You have low potassium levels or medication that may reduce your potassium.
· You have other deficiencies, including folic acid or iron.
· You have a blood disorder.
Generally, side-effects are uncommon, often mild, and usually resolve within a few days of treatment. You may experience some pain, itching, redness or swelling at the injection site. This will usually settle quite quickly without any intervention, however, if you experience any prolonged side-effects, it is important to contact your practitioner for a review. Bruising is uncommon, but if it does occur, it may take up to 2 weeks to fully resolve.
Many practitioners advise the following:
• Avoid touching or rubbing the area of injection.
• Avoid heavy exercise and over-use of the injected muscle for 24 hours.
• If you develop any diarrhoea, ensure you maintain good hydration by increasing fluid intake.
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