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Folate is often given with the IM injection

In addition, there is a particular effect on endothelial integrity (indicated as +2)

It's favored due to proven synergistic effects (animal studies/anecdotes), safety profile (minimal side-effects), convenience of pen form, and alternative to opioids/NSAIDs

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When to See Your GP About Nerve Pain and B12 Levels You should arrange to see your GP if you experience: Persistent tingling, numbness, or burning sensations in your hands or feet Unexplained weakness or difficulty walking Balance problems or frequent falls Memory problems or cognitive changes Persistent fatigue accompanied by neurological symptoms Symptoms of nerve pain if you have risk factors for B12 deficiency Recent recreational nitrous oxide use with neurological symptoms Your GP will typically begin with a thorough clinical history and examination, followed by blood tests to measure serum B12 levels

Entering a target dose of 1,000mcg (1.0mg) will show that 0.2mL, or 20 units on a U-100 syringe, is needed