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Adverse reactions after a B12 injection may include: A feeling of tightness in the chest Anaphylaxis (difficulty breathing or swallowing) Chest pain Congestive heart failure Heart palpitations Pulmonary edema Rapid heartbeat (tachycardia) Shortness of breath Vascular thrombosis Musculoskeletal Effects Your musculoskeletal system makes up your bones, tendons, cartilage, and connective tissues

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Is at increased risk of developing altered thyroid function due to prescription of sodium valproate

Vitamin B12 supplements are useful for preventing B12 deficiency and its related symptoms

Temporarily lowering the dose then ramping back up

The Annals of Pharmacotherapy