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A 55-year-old woman suffered an allergic reaction after her second dose of an intramuscular cyanocobalamin B12 shot

What to use when The pattern: anywhere a peptide vial will be punctured more than once over a window of days, bacteriostatic water is the documented choice

After an initial loading regimen of 1mg three times weekly for two weeks, maintenance therapy is typically 1mg every three months for life in conditions like pernicious anaemia, or every two months if neurological involvement was present

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Low B12 levels contribute to increased levels of homocysteine, an amino acid that, in excess, can damage blood vessel walls and increase the risk of heart disease