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Methylcobalamin, vitamin B12 preparations containing benzyl alcohol should be avoided in premature neonates because benzyl alcohol has been associated with gasping syndrome, a potentially fatal condition characterized by metabolic acidosis and CNS, respiratory, circulatory, and renal dysfunction
Vitamin B12 injections begin working almost immediately at a cellular level, though the timeframe for noticeable symptom improvement varies considerably between individuals
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These include serum vitamin B12 levels and a complete blood count (CBC)
Switch to the ventrogluteal site for repeated dosing or clients with limited deltoid mass
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