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Daily supplementation may need to be continued, but cobalamin blood levels could be monitored with less frequent dosing to see if decreased frequency of administration is adequate

IV B12 protocols involve mixing the vitamin with saline and giving it over 30 minutes to an hour

At Cienega Medical we do refrain from treating individuals under the age of 16 however

Like most treatments, vitamin B12 injections carry warnings that patients should be aware of, including: Hereditary Optic Nerve Atrophy: People with early Lebers disease (a hereditary form of optic nerve atrophy) should not receive cyanocobalamin injections, as rapid and severe vision loss has occurred

Once the vial is first punctured, the risk of contamination increases, and additional precautions may be necessary

Serious side effects are rare