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H - Herbal tea or warm milk E - Evaluate the medications that may be causing insomnia L - Limit nighttime interruptions P - Postpone lab draws to mornings M - Massage E - Evaluate daytime activities S - Sound reduction L - Light reduction E - Environmental changes E - Easy listening sounds or white noise P - Pain relief Individuals struggling with steroid-induced insomnia can also pick up pointers from this nomogram to help handle the issue

The patients used six different doses 0 mg (placebo), 1mg, 5 mg, 10 mg, 20 mg and 30 mg

Potential Side Effects Though generally safe, B12 injections can have potential side effects

Scand J Haematol 1978;21:243-9