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These adverse reactions occurred at the injection site

There is limited evidence on how high B12 levels impact pregnancy, however, elevated levels could be related to underlying health issues, so its important to discuss with a doctor if youre pregnant 18

Appropriate trained and qualified staff may need to be deployed to these locations when time permits, and the capacity of general healthcare staff capacity to provide mental health and psychosocial support should be increased (see the mhGAP Humanitarian Intervention Guide)

Methylcobalamin is the active, methylated form

Oral Vitamin B12 supplements High-dose B12 supplements can be prescribed or obtained over the counter and can be found in pill form or as lozenges