The FDA does not approve compounded medications for safety, quality, or manufacturing
Parents should focus on providing a balanced diet that includes sources of B12 such as eggs, milk, fish and fortified cereals
Prepared formulations should be kept refrigerated and used within their stability window
This may result in sense loss, difficulty in proprioception, neuropathic pain, difficulty walking, poor balance, loss of sensation in the feet, muscle weakness, blurred vision (either due to retinopathy [27] or optic neuropathy [28] ), impaired urination, fertility problems, decreased sense of taste and smell, decreased level of consciousness, changes in reflexes, memory loss, mood swings, depression, irritability, cognitive impairment, confusion, anxiety, clumsiness, dementia, and, in more severe cases, psychosis