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Delayed Treatment: Masking symptoms while the neurological damage progresses

In the case of suspected cobalt hypersensitivity, an intradermal test dose should be administered because anaphylactic shock and death have followed parenteral administration of methylcobalamin

VidalAlaball J, Butler C, CanningsJohn R, Goringe A, Hood K, McCaddon A, McDowell I, Papaioannou A

The choice of Vitamin B12 formulation can significantly impact treatment outcomes in patients with deficiency. Source: Reputable Medical Journal Healthcare providers should think about each patients unique situation when picking a Vitamin B12 injection