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Summary: A hydroxocobalamin B12 injection typically maintains therapeutic levels for approximately 8 to 12 weeks in most patients, which is why maintenance injections are usually given every 2 to 3 months

It can actually start a cycle where the nerve releases substances that activate the mast cells, releasing mediators that activate the nerve

Ovarian hyperstimulation syndrome (OHSS)

Some medical conditions, including autoimmune disease like shingles (herpes zoster), rheumatoid arthritis or celiac disease, as well as Lyme disease, some cancers, and several other diseases can also cause or increase the risk of nerve damage, also sometimes referred to as peripheral neuropathy

Your provider can outline options and adjust as your needs change