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Patients should seek emergency medical help (call 999) if they experience: Difficulty breathing, wheezing, or throat tightness Swelling of the face, lips, tongue, or throat (angioedema) Widespread urticarial rash (hives) developing rapidly Dizziness, fainting, or rapid heartbeat suggesting anaphylaxis These symptoms typically occur within minutes to hours of administration, most commonly with injectable preparations

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Vitamin B12 patches Using skin patches is a convenient way of getting a high dose of supplemental B12

The usual dosage is 100 mcg to 1,000 mcg per shot