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"It might actually be scary or dangerous for someone who doesn't really need the drug to take it, considering how powerful it is." Dr

Clinical signs of B12 deficiency include nausea, vomiting, loss of appetite, poor absorption of food (malabsorption syndrome), constipation, gas, weight loss, fatigue, lethargy, abdominal pain, and diarrhea

Any severe or persistent side effects should be reported to your healthcare provider and can also be reported through the MHRA Yellow Card scheme (yellowcard.mhra.gov.uk or via the Yellow Card app)

Critical time documentation remains vital for drug administration because the majority of infusion codes are strictly time-based

2008 Dec;9(4):226-37