B12 Injections Informed Consent Name Date of Birth Email Address Phone Number Benefits of B12 Injections: Vitamin B-12 is essential for maintaining good health. It can help reduce stress and fatigue, improve memory and cardiovascular health, and assist in maintaining a healthy body weight. B-12 is vital for converting proteins, fats, and carbohydrates into energy and is necessary for healthy skin and eyes. Potential Benefits: ・Increased energy levels ・Improved brain function and mood ・Support for red blood cell production ・Enhanced metabolism Possible Side Effects of B12 Injections:Vitamin B12 injections are generally safe and typically do not cause side effects, even in higher doses. However, in rare cases, they can cause mild diarrhea, upset stomach, nausea, pain and warmth at the injection site, headache, joint pain, and severe side effects such as rapid heartbeat, chest pain, muscle cramps, difficulty breathing, dizziness, confusion, and skin rashes. Any redness or swelling at the injection site should improve within forty-eight (48) hours. Consent and Agreement By signing below, I confirm that I have read and understood the information regarding B12 injections, including their benefits and risks. I am aware that the possible complications of injection therapy include minor bruising and bleeding at the injection sites, dizziness, headaches, and possible fainting. I understand there is a slight chance of sensitivities and reactions to the B12 solution. I hereby give my informed consent to the treatment, acknowledging its associated risks, and affirm that I have had the opportunity to discuss any concerns with my healthcare provider. I Agree Client Signature Submit