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This conclusion was also reached in another study (5)

The disease is called pernicious ( deadly ), because before B12 shots were available, people had no choice but to die

Healthcare providers should document all supplements and compounded preparations patients are using (including full ingredient lists and lot numbers), counsel on proper injection technique and site rotation, and monitor for unexpected adverse effects

[4] If you have difficulty reaching other areas or prefer assistance, the upper outer arm can be used as an injection site

CNS Neurosci

Individuals with a known hypersensitivity or allergy to vitamin B (cobalamin) or any other component of the injection must not use Lipo-B, as allergic reactions could be severe