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Because this is rare but potentially life-threatening, injections are best given in settings with trained staff and emergency treatment available

Deficiency has also been linked with a higher likelihood of pre-eclampsia, gestational diabetes and excess weight gain during pregnancy

doi: 10.3390/nu8120767

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

The vial contains tirzepatide as the active peptide, cyanocobalamin (vitamin B12) typically at concentrations around 0.5-1mg per vial, and often glycine as a third component