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Obesity Reviews (2016)
Payers want to see that the prescriber is following the FDA-approved escalation protocol: starting at 2.5mg weekly for 4 weeks, then increasing to 5mg weekly, with subsequent increases as clinically indicated
Tiredness / lethargy Depression Hair loss Pins & needles Numbness in the hands or feet Tremors or palsies Palpitations Recurrent headaches Dizziness Slower digestion / weight gain Irritability Mood swings Confusion Forgetfulness Fogginess Psychosis Hallucinations or delusion Anxiety/Panic attacks Onset of dementia Hormonal imbalances or worsened menopause symptoms What are contra-indications to having Vitamin B12 intramuscular injections
Although adverse reactions to intravenous, intramuscular or subcutaneous injection of 0.9% benzyl alcohol are not known to occur in man, experimental studies of small volume parenteral preparations containing 0.9% benzyl alcohol in several species of animals have indicated that an estimated intravenous dose up to 30 mL may be safely given to an adult without toxic effects
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