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swelling of the tongue, lips, or face The following Hydroxocobalamin side effects have also been reported Side effects that you should report to your care team as soon as possible: Allergic reactionsskin rash, itching, hives, swelling of the face, lips, tongue, or throat Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome): Pros and cons of Hydroxocobalamin Pros Typically only need to take once a month after the initial treatment Injection can be given at home Doesn't have to be refrigerated Can use in children Cons Injections might be uncomfortable Might have to get frequent blood tests Can affect potassium and platelet levels Not known if safe to take during pregnancy Pharmacist tips for Hydroxocobalamin Make sure your provider has given you instructions on how to safely and properly inject hydroxocobalamin at home

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The following comparison evaluates three common approaches based on published data on GH secretagogue withdrawal and pituitary axis recovery

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