Cyanocobalamin is given through intramuscular or subcutaneous injections
Seek medical advice if diarrhoea persists beyond 7 days, contains blood or mucus, or accompanies severe abdominal pain or weight loss
Freeze rules: do not repeatedly freezethaw a reconstituted solution
Because the GLP-1/GIP arms slow gastric emptying, jumping straight to a high dose provokes strong nausea, diarrhea, and vomiting
Common side effects include, but may not be limited to: pain or redness at the injection site mild diarrhea pruritus (itching) increased swelling joint pain dizziness headache nervousness or anxiety Serious side effects may include: allergic reactions peripheral vascular thrombosis hypokalemia (low potassium levels) pulmonary edema (fluid build-up around or in the lungs) thrombocytosis congestive heart failure There have been reports of anaphylactic shock and death after the parenteral administration of vitamin B12
Identified as a priority in 2017, progress has been slow due to rising costs and competing demands