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or collapse (possible anaphylaxis) Severe abdominal pain (possible pancreatitis) Signs of infection at the injection site (redness, swelling, discharge, or fever) Persistent vomiting or inability to tolerate fluids Chest pain, palpitations, or difficulty breathing Severe dizziness or loss of consciousness For non-urgent concerns, contact your GP or call NHS 111 for advice

These injections usually do not hurt

Linus Pauling Institute Oregon State University Updated in January 2014 by: Barbara Delage, Ph.D

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Individuals with a known hypersensitivity or allergy to vitamin B (cobalamin) or any other component of the injection must not use Lipo-B, as allergic reactions could be severe

This is consistent with a diagnosis of megaloblastic anemia (May-Grnwald-Giemsa staining x400)