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Unlike other treatments, shoulder injections have a limited amount of side effects, mostly only involving minor scalp irritation or redness

Without it, the body struggles to convert food into energy

It's commonly prescribed for conditions like pernicious anemia , malabsorption syndromes , or after gastric surgery

(Some patients may reuse their own syringe up to a few times if needed, but it must never be shared or used by someone else.) After injection, the used syringe should be placed in a proper sharps/needle container for safe disposal this prevents needlestick injuries or hygiene issues

1 It can take much longer for symptoms to disappear altogether, and that although their symptoms could get worse initially during treatment, this should improve 4 * Note: The large majority of patients present with neurological/neuropsychiatric involvement at the time of diagnosis References NICE Guideline on B12 deficiency in over 16s NICE Clinical Knowledge Summaries Anaemia B12 and folate deficiency Wolffenbuttel, Bruce H R et al

however, there is none on hypothyroidism and vitamin B12