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Renal Impairment: The kidneys are involved in excreting methylcobalamin, so extra caution is needed in patients with kidney diseases

1,2,6 The resultant abnormal erythropoiesis can trigger other notable abnormal laboratory findings, such as decreased haptoglobin levels, high lactate dehydrogenase levels, and elevated reticulocyte count

Here's a general idea: For a quick energy boost, some people get them once a week for a few weeks

But if fatigue comes with dehydration, stress, or poor recovery, an IV drip provides a broader solution

(See Sharps Container below) If you do everything gently, your child will usually not awaken