can b12 injections cause bloody nose Vitamin Injection Side Effects and Safety Benefits of B12 Injections for

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Following any kind of intramuscular injection, it is possible for soreness, numbness, redness, itching, or bruising to develop at the injection site

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Treatment considerations include: Concurrent folate supplementation if deficient (never give folate alone, as it may precipitate neurological deterioration) Potassium monitoring during initial treatment in severe anaemia or at-risk patients (e.g., those with heart failure) Response assessment: reticulocyte count peaks at 57 days, haemoglobin normalises within 68 weeks Neurological symptoms may take 612 months to improve and may not fully resolve Patients should be advised that treatment for pernicious anaemia or post-surgical deficiency is lifelong