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Matt has been incredible to work with and a wealth of knowledge in the hormone replacement space

In a recent review (2018) by the famous Cochrane Institute, it was reported that studies which had been published on this topic only provided very low-quality evidence that oral B12 is as efficacious as intramuscular B12

Common side effects: Talk to your doctor if any of these side effects bother you or do not go away after a few days: A slight dead arm for a couple of hours after the injection May feel slightly groggy the next morning but this will subside quickly pain, swelling or itchy skin where your injection was given feeling or being sick (nausea or vomiting) diarrhoea headaches feeling dizzy hot flushes In rare cases a rash can develop Serious side effects: Serious side effects are very rare but tell your doctor immediately if you get any of these symptoms after having treatment: irregular heartbeats or heartbeats that suddenly become more noticeable (palpitations) In rare cases, hydroxocobalamin can cause a serious allergic reaction (anaphylaxis)

Look out for these signs: Severe dizziness or vertigo that lasts for more than a few minutes Difficulty walking or maintaining posture Loss of consciousness or fainting spells Confusion, disorientation, or difficulty speaking Weakness or numbness in the face, arm, or leg If you or someone you know has these symptoms, get medical help right away

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