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Other side effects reported ranged from lipohypertrophy at injection site, papilloedema (related to cranial hypertension), and facial nerve paralysis [276, 285], however symptoms did not prevail after treatment pause and restarting with lower doses [268]

January 2018

Rare allergic reactions, particularly in individuals with sensitivities to specific additives

High-dose oral B12 supplements are available over the counter for a few dollars per month, while injection visits typically involve copays, administration fees, and the time cost of repeated clinic appointments

Cyanocobalamin clears faster and requires more frequent dosing, so it has largely fallen out of routine use here