B-12 Consent

The main activity of vitamin B12 in the body is to maintain the proper function of the nervous system along with the brain. It’s a soluble vitamin. It’s a significant B complex vitamin.

  • The main activity of vitamin B12 in the body is to maintain the proper function of the nervous system along with the brain. It's a soluble vitamin. It's a significant B complex vitamin
    • It has the potential to give encouraging support to the metabolism system, which comprises digestion, respiration, energy production etc. Therefore, Vitamin B-12 may help increase the metabolic system and possibly help with weight loss
    • It has also been recommended as an outstanding energy enhancer.
    • Vitamin B-12 is a good option for helping to reduce homocysteine levels, which, in turn lowers the chances of heart ailments and strokes.
    • Vitamin B-12 may help to improve sleep and boost the immune system and reduce allergy symptoms.
    • B12, coalesced with other group B vitamins, is purported to sustain the soothing & smooth functioning of all the systems within the human body.
    • Vitamin B-12 helps maintain a good balance in the human body. It is an excellent supplement for neurological disorders & is also beneficial for cognitive functions.
    • Vitamin B 12 can assist in supporting your emotional & mental stability; can help in reducing depression and can help improve moods.
    Background

    Vitamin B12 is a water-soluble vitamin needed for normal cell activity. It is a part of a group of cobalt containing B complex vitamins, which are also known as cobalamins. Like other B vitamins, vitamin B12 is important for metabolism. It also helps in the formation of red blood cells and in maintaining the central nervous system. B-12 is given for pernicious anemia. Vitamin B-12 absorption reduces as the human body ages thus the older you are; the more prone you are to have a Vitamin B-12 deficiency. It is found in most foods which come from animal products including liver, fish, shell fish, meat and dairy products. Vitamin B-12 is used as supplement for Vegetarians and Vegans due to a diet low in B-12.

    Side Effects

    The good news is that vitamin B 12 is a safe vitamin and non toxic even when taken in large doses. However, people have experienced some adverse effects, even though these side effects are quite rare they can include the following: mild diarrhea, anxiety and panic attacks, heart palpitations, insomnia, breathing problems, chest pain, skin rash, hives or itchy swollen skin Some health professionals believe that patients develop these reactions not because of the B12, but because of the preservatives that are part of the injection formula. Currently, most injections contain preservatives.

  • Other side effects may be experienced by people who have an allergy or sensitivity to cobalamin and cobalt. If this is the case, then it is advisable to avoid vitamin B12 supplementation altogether and instead seek to eat the foods that contain naturally occurring B12. In addition, B12 should be avoided by people suffering from Leber's disease, a hereditary disease in which the optic nerve wastes away. Ingesting vitamin B12 can actually speed up the atrophy of the optic nerve resulting in rapid loss of central vision. Also, there is always a risk of fainting or infection with any skin puncture. A multitude of conditions can be caused by Vitamin B-12 Deficiency including:

    Anemia Confusion Dizziness Hypotension Mouth Sores Numbness
    Ataxia Dementia Fatigue Incontinence Muscle Weakness Poor Appetite
    Bleeding Gums Diarrhea Palpitations Memory Loss Nausea Many more..

    ***B12 Deficiency can mimic Alzheimer's disease, multiple sclerosis, early Parkinson's Disease, infertility in women and Chronic Fatigue Syndrome. Therefore,more problems than not arise from B12 deficiency than they do from ingestion of the vitamin itself.

    By signing this form and on behalf of myself, my heirs, executors, administrators and assignees, I agree to hereby release, forever discharge and hold harmless the entity doing business as Health and Aesthetics and the respective owners, officers, directors, employees, agents, representatives, governing bodies, advising committees, and subcontractors of the entity doing business as Health and Aesthetics as well as the company and/or companies sponsoring this event and their agents, representatives, employees, successors, and assignees from any and all liability, claims, demands, actions, causes of action, injury or damage which may result from receiving a B-12 shot administered by the entity doing business as Health and Aesthetics. p>

    I understand that Health and Aesthetics makes no claim or guarantee that I will experience any benefit from B-12. Health and Aesthetics does not guarantee results. I understand that individual results will vary.

    I have been made aware that Health and Aesthetics is not an insurance provider for Medicare or any private insurance company. Therefore, I understand that Health and Aesthetics will not bill my health insurance for this procedure.

    I acknowledge that I have read the purpose of B-12 metabolically, what B-12 is medically indicated for and any contraindications, side effects or risk(s) associated with receiving B-12. I have also had the opportunity to ask any questions about Vitamin B-12 shots and Vitamin B-12.

    I have read this form and understand and comprehend its contents. After reading and understanding the benefits and risks of ingesting B-12 and the contents of this form in its entirety, I consent to receive a B-12 shot or B-12 shots from the entity doing business as Health and Aesthetics now and in the future. I also understand that if I am a female and become pregnant or start breast-feeding in the future, it is my responsibility to make Health and Aesthetics aware of the change in status. I further realize that I can not receive any B-12 shots if I am pregnant or breastfeeding. I understand that the confidentiality of this information will be maintained within legal limits.

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