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Injections provide a direct route, bypassing the digestive system

Research shows that at least 10% of people over 60 have B12 deficiency, and many younger adults are also affected due to dietary choices or absorption problems

"It seems like there's a real hole in the way we look after these medications and how they're managed and make sure that they're produced safely," Dr Fox said

We will also discuss how often you may need injections depending on your symptoms and response

Patients should be advised of the signs and symptoms associated with serotonin syndrome that may include mental status changes (e.g., agitation, hallucinations, delirium, and coma), autonomic instability (e.g., tachycardia, labile blood pressure, dizziness, diaphoresis, flushing, hyperthermia), neuromuscular changes (e.g., tremor, rigidity, myoclonus, hyperreflexia, incoordination), seizures, and/or gastrointestinal symptoms (e.g., nausea, vomiting, diarrhea)

J., Weir, D