PubMed Krivic, A., Anic, T., Seiwerth, S., Huljev, D., & Sikiric, P
A healthcare professional can prescribe vitamin B12 intramuscular injections or nasal gel spray for people with a severe vitamin B12 deficiency
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[4] In case of accidental large overdose (e.g., someone receives far more frequent injections than prescribed), monitoring for symptoms like flushing, tingling in extremities, or liver enzyme elevations would be prudent
Sterile water, lacking a preservative, is better suited for single-use scenarios or procedures where the absence of additives is preferred, such as in sensitive patients or irrigation tasks