Vision loss and a smooth tongue
High concentrations for IV use should be diluted in normal saline or another compatible IV fluid before administration
Initial Treatment Phase: During this time, its important to keep an eye on vitamin B12 levels and symptoms
They have demonstrated efficacy in alleviating pain associated with diabetic neuropathy, neuralgia, and low back pain, as well as promoting nerve conduction, making them beneficial for a variety of neurological and pain-related conditions
Avoid injecting into areas with visible veins, scars, or irritations
[6] [7] For patients with neurological symptoms, hydroxocobalamin 1mg IM is given on alternate days until no further improvement, followed by maintenance injections of 1mg every two to three months