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IV therapy and wellness clinics use this form as a standard intake document before every B-12 or lipotropic injection protocol

ADVERSE REACTIONS Most frequently reported adverse drug reactions in adults (incidence 10%) were headache, cough, diarrhea, hypotension, and ocular hyperemia

Jones DE, Hollingsworth KG, Jakovljevic DG, Fattakhova G, Pairman J, Blamire AM, et al

Risk factors that should prompt consideration of B12 deficiency include advancing age (reduced stomach acid production), strict vegan or vegetarian diets, pernicious anaemia, gastrointestinal surgery (particularly gastric bypass or ileal resection), long-term use of certain medications (metformin, proton pump inhibitors, H2-receptor antagonists), nitrous oxide exposure (including recreational use), and conditions affecting the gut such as Crohn's disease or coeliac disease

Since lesion induction is not immune-mediated it is quite different to MS

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