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In the most severe form, Hydrops Fetalis, gamma chains aggregate into tetramers (Hemoglobin Barts), leading to severe hypoxia incompatible with fetal survival

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However, the frequency of these injections depends on individual needs and the recommended dosage

After having a B12 shot, a person should monitor for adverse symptoms and seek medical help if they experience: severe pain at the injection site mild diarrhea a swelling sensation in the body temporary itching of the skin In rare cases, a person may also be at risk of: pulmonary edema peripheral vascular thrombosis, which involves blood clots polycythemia vera, which is a type of blood cancer If anyone experiences difficulty breathing, hives, and swelling, they need emergency medical help