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You should also contact your GP if: You are unable to attend scheduled maintenance injections, as missing doses can lead to symptom recurrence You develop new symptoms that might indicate other deficiencies or health problems You are planning pregnancy, as B12 requirements may change You experience persistent side effects such as headaches, dizziness, or gastrointestinal symptoms If you experience any side effects, talk to your doctor, pharmacist or nurse

Infiltration is caused during placement of the IV if the needle punctures both sides of the IV, after an IV recipient moves, causing the needle to puncture through the other side of the vein, or if the vein collapses during the administration process

doi: 10.2337/DB14-1223 111 ZervouMIAndreouACEliopoulosEEGoulielmosGN

121 NINDS Exploratory Trials in Parkinson Disease (NET-PD) FS-ZONE Investigators (2015)

Lancet Infect Dis 18(9):969-982, 2018