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Patients with Lebers hereditary optic neuropathy should not receive B12 due to the risk of optic nerve damage

Larger injection volumes create more pressure in the subcutaneous tissue, which can cause more discomfort and a higher chance of lumps or the medication leaking back out

Obesity is not something to be taken lightly, as it is associated with various health issues, including diabetes, heart disease, high blood pressure, and stroke

Risks and Side Effects Cortisone Injections: While cortisone is generally safe for occasional use, repeated injections can have side effects, including: Tissue degeneration (especially in tendons and cartilage) Joint infection (rare but serious) Elevated blood sugar (in diabetic patients) Skin discoloration or thinning Repeated cortisone use has been linked with weakened tendons , potentially leading to ruptures

Administer twice weekly or as directed by a vet

If you have normal b12 values like I do, but high homocysteine like I do, this points to a deficiency or problem utilizing methyl b12