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Clinics often combine these in an IM injection as one component of a broader Weight Management plan

That's why it's important to let your doctor know if you have any of the following conditions before you're prescribed hydroxocobalamin: If you've had an allergic reaction to hydroxocobalamin or any other medicines in the past If you've been diagnosed with low levels of potassium If you have an irregular or fast heartbeat Once you've started taking hydroxocobalamin, you may have some side effects such as pain, swelling, or itchy skin at the point where the syringe was injected

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If you keep feeling tired or have other B12 deficiency symptoms, it might be time to check your treatment