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The reported adverse reactions following parenteral administration of vitamin B12 include: Generalized : Anaphylaxis and death Cardiovascular : Pulmonary edema and congestive cardiac/heart failure during early treatment

Prescribing off-label is a common practice by healthcare professionals to ensure a medication can safely benefit as many patients as possible

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However, some people may experience dizziness, lightheadedness, or injectionrelated discomfort, especially shortly after administration