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Assess both vitamin B12 and folate levels prior to initiating therapy with NASCOBAL or with folic acid
Hydroxocobalamin has a long safety record, no meaningful overdose risk because excess is excreted in urine, and a very low rate of allergic reactions
Another advantage is reduced contamination risk
For individuals with severe B12 deficiency (especially those with anaemia or neurological symptoms), some might start to feel an improvement in their energy levels within a few days to a week
You may start noticing the weight loss effects of lipotropic injections after two weeks, although some will lose weight faster than others and some may not see the same weight loss benefits
Symptoms of an allergic reaction include difficulty breathing, swelling of the face and airway, and hives
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