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Resolution of hyperpigmentation on the palms (B1) and dorsum of the hands (B2) 12 weeks after initiation of parenteral cyanocobalamin therapy

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This helps prevent these types of issues

If you cant find 4-5 mm needles, 6-8 mm ones can also be suitable as long as you inject into an area with enough fat, such as around the belly button

Pregnant woman holding baby bump- Picture Courtesy: mayoclinichealthsystem.org Vitamin b1, b6, and b12 injection is normally considered safe during pregnancy

Some people might do well on lower doses of oral B12, but its important to watch and adjust