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Patients should avoid: Sleeping directly on the injected hip Twisting the hips while sleeping Positions that place pressure on the injection site Recommended sleeping positions include: Sleeping on your back with a pillow under your knees Sleeping on the opposite side with a pillow between your knees These positions help keep the hip joint aligned and reduce discomfort

People with known cobalt allergy or Leber hereditary optic neuropathy should avoid cyanocobalamin because of reports of optic nerve damage

Balloon compression

Studies have found that supplementation with B12 can help to regulate normal sleep-wake patterns

[PubMed abstract] 13 Healton EB, Savage DG, Brust JC, Garrett TF, Lindenbaum J

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