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If someone else is giving the injection, it may also be administered into the deltoid muscle (upper arm) or the gluteal muscle

A 2015 research review linked taking too much B12 to acne, rosacea, vitiligo, and atopic dermatitis

When your levels drop, your body feels the effects

Other symptoms seen in our practice include pale or yellowish skin, a swollen or sore tongue, mouth ulcers, and occasional visual changes

Once diagnosed, the treatment strategies for B12 deficiency involve regular injections of the vitamin, usually hydroxocobalamin

Nicolau syndrome (NS) also known as Embolia cuits medicamentosa (ECM) or livedo-like dermatitis (LLD) is a rare serious skin condition characterized by sudden-onset pain, skin changes, and tissue necrosis caused by medications injected into the muscle or subcutaneous tissue