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If this hypothesis is correct, it may be possible to improve lymphatic vessel function with nutritional supplementation

Side effects from B12 supplementation are uncommon but may include: Mild gastrointestinal symptoms such as nausea or diarrhoea, typically with very high oral doses Headache or dizziness in some individuals Skin reactions (rash, itching) at injection sites when using intramuscular preparations Rare but serious allergic reactions, including anaphylaxis with injectable forms Hypokalaemia (low potassium) may occur during rapid correction of severe megaloblastic anaemia If you experience symptoms of a severe allergic reaction (difficulty breathing, severe rash, swelling of face or throat) after taking B12, seek immediate medical attention

Always clean the vial top and injection site with alcohol wipes

The following represent key guidance principles applicable to Crohns disease coding (coders should reference current Coding Clinic issues for exact Q&A wording): 14

Functional capacity typically expands progressively during this period
