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Regular serum B12 monitoring is not routinely necessary once stable on replacement therapy, as levels become artificially elevated and unreliable
Store the reconstituted solution in a refrigerator and avoid exposure to light
This article examines the side effect profile of B12 therapy in older adults, covering common reactions such as injection site discomfort and gastrointestinal symptoms, rare serious adverse events requiring urgent medical attention, important drug interactions with medications like proton pump inhibitors and metformin, and evidence-based dosing guidance aligned with NICE and BNF recommendations for safe, effective B12 replacement in this vulnerable population
Numbness or tingling from nerve problems may take weeks to months to heal
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