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Potential signs of an allergic reaction may include: rash/hives, itching, red or swollen skin, blistered or peeling skin (with or without fever), wheezing and tightness of chest or throat, trouble breathing, swallowing or talking, swelling of the mouth, face, lips, tongue or throat

See the image for the exact spot The name for injections in this area are called intramuscular because the needle must penetrate the muscle to deliver your vitamin B-12 so that it is quickly delivered where your body needs it

Long-term management requires a systematic approach rather than treating each reaction as an isolated event

If this sounds familiar, you might be deficient in vitamin B12

if neurological involvement is present, maintenance is every two months Oral therapy is generally not appropriate where absorption is impaired (e.g., pernicious anaemia), as adequate levels cannot be reliably achieved Because B12 is water-soluble and any excess beyond hepatic storage capacity is excreted in the urine, it has a low toxicity profile