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Larger doses of vitamin B12 can cause other more serious side effects including: Headache Nausea and vomiting Diarrhea Fatigue or weakness Tingling sensation in hands and feet Our doses are preservative free and extremely small, and therefore rarely cause a negative reaction

[19] The clearest form difference is in retention after injection: hydroxocobalamin is retained substantially longer than cyanocobalamin, which is excreted more rapidly in the urine

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Indicated for patients benefiting from higher doses or transitioning from semaglutide for additional efficacy

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