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The most consistently documented symptoms include acne-like skin eruptions and rosacea flare-ups, particularly with high-dose hydroxocobalamin injections
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When to seek medical help See a doctor promptly if you have spreading redness or warmth around the site, discharge or a fever, numbness or weakness that does not settle, or any swelling of the face, lips or throat or difficulty breathing, which can signal a rare allergic reaction and is a medical emergency
Do not aspirate for subcutaneous injections
Supplementation can help bridge the nutritional gap