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The 2024 NICE update was explicit on one point: do not rule out B12 deficiency just because the standard blood count looks normal
Usage among US clinicians has surged 830% over the past year, supporting more than 16M clinical consultations per month across 10,000 hospitals and medical centers
All handling procedures must comply with institutional safety protocols and relevant regulatory standards
You will use the entire contents within 4 to 6 weeks, well within the stability window
These extremely rare side effects include: Reactive thrombocytosis during the first week of use in megaloblastic anaemia Hypersensitivity reactions including: rash, itching, exanthema, antibodies to HYDR0XOCOBALAMIN-transcobalamin II Anaphylaxis Hypokalaemia Headache, paraesthesia, tremor Irregular heartbeat (arrhythmias secondary to hypokalaemia) Nausea Vomiting Diarrhoea Fever, chills, hot flushes, dizziness, malaise, pain and / or swelling at the injection site Acne Abnormal colouration of the urine (chromaturia) What should you not do after a B12 shot
If this happens very gently internally and externally rotate the patients arm
