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Side Effects Side Effects B12 injections common B12 injections common Injection site pain, redness, or mild swelling Mild nausea immediately after injection Headache in some patients B12 injections rare but important B12 injections rare but important including anaphylaxis in rare cases, particularly with hydroxocobalamin

Symptoms of B12 deficiency include: a pale yellow tinge to your skin a sore and red tongue mouth ulcers changes in the way that you walk and move around disturbed vision irritability depression changes in the way you think, feel and behave When left untreated chronic B12 deficiency can lead to further health issues

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Patches can cause local irritation or have insufficient absorption and may also fall off or look unsightly

Therefore, this commenter recommended CMS reconsider the emphasis on the payer-specific negotiated charge: dollar amount data element in the MRF