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Anxiety or Restlessness Anxiety Nervousness Difficulty sleeping Restlessness 5

Many people feel increased energy within hours

Document supplement type and frequency in physician or nursing notes to support malnutrition severity coding

Usually administered monthly or every 23 weeks, depending on the condition

These may include mild digestive changes (nausea, altered bowel movements), increased energy levels that may feel stimulating initially, mild headaches (often related to dehydration), and minor injection site reactions (redness, temporary discomfort)

Cyanocobalamin is the most widely used form of vitamin B12, and has hematopoietic activity apparently identical to that of the antianemia factor in purified liver extract