In most cases, these effects dont require medical intervention
Never directly onto the lyophilizate, a strong jet can create foam
Should you wish to receive a specific loading dose / series of B12 injections then please speak to our nurse practitioner prior to booking an appointment
This includes using 2 to 3 finger widths (depending on the size of your fingers) from the acromion process to ensure you inject below the shoulder capsule and identifying the level of the armpit to ensure you inject into the deltoid
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Very high concentrations can result in toxic effects including respiratory failure, vasodilation, hypotension, convulsions, and paralysis