According to the MHRA, recognised reactions to injectable hydroxocobalamin include injection site reactions, rash, pruritus, and rarely, acneiform eruptions
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18,24 Special Considerations The American Academy of Neurology Practice Parameter on dementia lists vitamin B 12 deficiency as a common comorbidity in older persons and recommends routine assessment of vitamin B 12 levels in older patients with dementia
If yes, refer to the appropriate specialist depending on symptoms
Here are some factors that can affect how quickly you notice results: Severity of Deficiency: Individuals with mild deficiencies may experience quick relief, but those with very low B12 levels might require several doses before a noticeable difference occurs
