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Seek urgent medical attention (call 999 or attend A&E) if you experience: Severe abdominal pain, particularly if accompanied by vomiting Signs of pancreatitis: severe upper abdominal pain radiating to the back Symptoms of severe dehydration: confusion, rapid heartbeat, very low urine output Allergic reactions: difficulty breathing, facial swelling, severe rash Your healthcare provider may wish to investigate potential underlying causes of fatigue through blood tests , including: Full blood count (to check for anaemia) Thyroid function tests Vitamin B12 and folate levels Iron studies Kidney and liver function HbA1c (if diabetic or pre-diabetic) In some cases, dose adjustment or temporary treatment interruption may be necessary to allow recovery from side effects

It is not known whether the components of Lipo-B (particularly vitamin B or amino acids in high doses) could affect a nursing infant, and therefore the safest course is to avoid such injections while breastfeeding

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Standard Therapeutic Dosages Studies show that 500 to 2000 mcg of methylcobalamin works well for neuropathy

So, injections are a more direct way to make sure your body gets the B12 it needs, while tablets might not work as efficiently because they have to go through your stomach and intestines first