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Common signs and symptoms of perioral dermatitis include: Redness and bumps around the skin of the mouth Itching may be present Burning sensation Dry, flaky skin Crusting A tightening sensation on the skin around the mouth Watery discharge from the rashes Rash may involve the eyelids, nose, forehead, and genitals How is perioral dermatitis treated

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Starting dose (2.5mg): which concentration works best At the 2.5mg starting dose, the 2ml reconstitution (5mg/ml) is almost always the better choice

Long-term wellness use of B12 injections when labs are normal has limited evidence of benefit and uncertain long-term safety

This is why medical screening before use matters