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[4] In case of accidental large overdose (e.g., someone receives far more frequent injections than prescribed), monitoring for symptoms like flushing, tingling in extremities, or liver enzyme elevations would be prudent

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Where neurological involvement is suspected, IM hydroxocobalamin must be started urgently without waiting for blood test results to prevent irreversible nerve damage

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But lets be real B12 shots and weight loss arent some magical fat-melting solution