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If they have prominent occipital neuralgia , then I will give additional dosing over the correlating occipital nerves (I do this very commonly is most patients I treat)

That means remembering the handy acronym RICE: rest, ice, compression and elevation

These extremely rare side effects include: Reactive thrombocytosis during the first week of use in megaloblastic anaemia Hypersensitivity reactions including: rash, itching, exanthema, antibodies to HYDR0XOCOBALAMIN-transcobalamin II Anaphylaxis Hypokalaemia Headache, paraesthesia, tremor Irregular heartbeat (arrhythmias secondary to hypokalaemia) Nausea Vomiting Diarrhoea Fever, chills, hot flushes, dizziness, malaise, pain and / or swelling at the injection site Acne Abnormal colouration of the urine (chromaturia) What should you not do after a B12 shot

Each published protocol follows a standardized 14-section format that includes a quick-reference card, titration schedule, reconstitution table with worked math, side effect profile with clinical trial percentages, clinical trial results summary, compound comparison table, and 1012 answered FAQs

Store in a cool and dry place under room temperature