Appropriate trained and qualified staff may need to be deployed to these locations when time permits, and the capacity of general healthcare staff capacity to provide mental health and psychosocial support should be increased (see the mhGAP Humanitarian Intervention Guide)
Some side effects: allergic reaction, change in urine colour, insomnia Some people state they have problems falling asleep after taking vitamin B12
The AAFPs evidence-based clinical review states directly: Oral administration of high-dose vitamin B12 (1 to 2 mg daily) is as effective as intramuscular administration for correcting anemia and neurologic symptoms in patients with B12 deficiency (Langan RC, Goodbred AJ, American Family Physician, 2017)
The optimal dosing strategy requires pharmacokinetic studies in human subjects across body weight ranges to establish exposure-response relationships
A study in the Journal of Clinical Biochemistry and Nutrition found B12 benefits
He credits it with clearing elbow tendonitis in two weeks and supporting his Achilles recovery, injecting directly into the injury site rather than subcutaneously