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Providers should also review contraindications and known allergies and maintain readiness to treat rare anaphylactic reactions

If you are naturally deficient you may need a B12 injection once every month may be ideal, for other clients one injection every 3-4 months may suffice

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Patients should seek urgent same-day assessment if they develop any new neurological symptoms, as subacute combined degeneration of the spinal cord a serious but preventable complication of prolonged B12 deficiency requires immediate treatment