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Hydroxocobalamin is the form the NHS uses because it lingers in the body longer than cyanocobalamin, and its pharmacology supports dosing intervals of up to three months once levels are stable

[15] Serious but infrequent events-such as angioedema, bronchospasm, hypotension, or urticaria-reflect IgE-mediated hypersensitivity and may require desensitization or substitution with hydroxocobalamin

Side effects are rare and usually mild

Additionally, since lipotropic injections often contain vitamins and minerals, theres a potential risk of developing imbalances or overloading the body with certain nutrients, leading to symptoms like fatigue or mood swings