If improvement plateaus or symptoms persist despite treatment, further investigation may be warranted to identify other contributing factors or alternative diagnoses
In some instances, applying a cold compress may relieve the pain
A few symptoms of B12 deficiency include: Conditions of the small intestine (Crohns disease), anaemia, fatigue, constipation, poor balance, memory loss, shortness of breath, and more
Vegetarians and vegans often face challenges in obtaining sufficient B12 from their diet, so supplementation becomes necessary
The consultation usually includes: A discussion about symptoms such as fatigue or low energy A review of medical history and previous vitamin treatment Advice on vitamin B12 and travel health Administration of the injection if suitable The hydroxocobalamin injection is usually given into a muscle in the upper arm and typically takes only a few minutes
Most important, providers should identify the injectable drugs number of units and whether billing for wastage is appropriate