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When to See a Doctor Prompt medical evaluation is warranted if one or more of the following symptoms occur after the injection treatment: Increased pain or swelling at the injection site that progressively worsens Fever, chills, and/or night sweats Uncontrolled or excessive bleeding at the injection site Persistent numbness or weakness in the neck, shoulder, arm, or upper back Headaches Swelling in the arms Before considering a rotator cuff injection, patients are advised to discuss the risks, benefits, and alternative treatments with their doctor.
While very high oral doses (1,000 to 2,000 mcg) can achieve some passive absorption without intrinsic factor roughly 1% of the dose is absorbed passively many clinicians prefer the reliability and rapid correction offered by injections in this population
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