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It is a tripeptide, three amino acids long, bound to a copper ion

The doctor may recommend the following: Resting and applying ice and heat alternatively over the shoulder Over-the-counter pain medications like naproxen

Any combination should be guided by a medical provider who reviews your history, labs, and overall treatment plan first

Think of it as a marathon, not a sprint

That's why it's important to let your doctor know if you have any of the following conditions before you're prescribed hydroxocobalamin: If you've had an allergic reaction to hydroxocobalamin or any other medicines in the past If you've been diagnosed with low levels of potassium If you have an irregular or fast heartbeat Once you've started taking hydroxocobalamin, you may have some side effects such as pain, swelling, or itchy skin at the point where the syringe was injected