If your doctor diagnoses iron deficiency as a cause, they will likely have you start taking iron supplements
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Although extremely rare, hydroxocobalamin injections can also cause serious side effects such as a major allergic reaction or irregular heartbeats (palpitations)
At 5mg/mL concentration, an 8mg dose requires 1.6mL, which is a large subcutaneous injection
In individuals with nutritional deficiencies (e.g., strict vegetarians without supplements), injections may be given less frequently or replaced by oral supplements once levels stabilize