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Cautious use of parenteral cyanocobalamin is also recommended in patients with renal impairment, including premature neonates, because of the possibility of greater aluminum accumulation, which may cause central nervous system and bone toxicity

Science 312 , 734737 (2006)

Rotate injection sites to prevent tissue irritation and induration

You need a healthy immune system to fight off diseases and maintain a vibrant state of wellness

Put the used needle in a puncture-proof disposal container

You should get B12 shots weekly to monthly for maintenance and IV infusions monthly to quarterly for broader wellness support, though frequency depends on deficiency severity, health goals, and your providers recommendation