What is the best injection site for intramuscular (IM) B12 injections?
My mnemonic for the symptoms of B12 deficiency is: A
Andersson, Emmanuel Shapira, Biochemical and clinical response to hydroxocobalamin versus cyanocobalamin treatment in patients with methylmalonic acidemia and homocystinuria (cblC), The Journal of Pediatrics, Volume 132, Issue 1, January 1998, Pages 121-124, ISSN 0022-3476, Okuda K, Yashima K, Kitazaki T, Takara I
- If you travel, use an insulated cooler bag with a gel pack (not ice, which can freeze the vial)
doi:10.1111/1471-0528.13574
The severity and duration of deficiency are primary determinantspatients with mild, recently developed deficiency typically respond more rapidly than those with longstanding, severe depletion