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Tell your prescribing doctor if you have any of these conditions, which can increase B12 shot side effects: An allergy to cobalt Kidney disease Severe megaloblastic anemia Side Effects from B12 Shots The most common B12 shot side effect is swelling at the injection site

For instance, someone with Crohns disease might need: Higher initial doses to overcome malabsorption More frequent injections during the maintenance phase Regular checks on B12 levels to adjust dosages as needed Dosage Modifications for Elderly Patients Elderly patients have special needs when it comes to vitamin B12 injection dosages

This means you need to plan your reconstitution timing so that you finish the vial within about four weeks

For these patients, specialized lasers must be utilized, the most advanced of which is the GentleYAG Nd:YAG laser