He received a single 5 g iv dose of hydroxocobalamin, resulting in substantial improvement in hemodynamics and decreased vasopressor requirement
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As a local, I use 2% Lidocaine because of its speed of onset and any response to the injection can thus been seen rapidly
It is listed as a rare adverse reaction in UK product information for both oral and injectable B12 preparations, and most people tolerate B12 supplements well even at high doses
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