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in the 100 mg dose present here, serious GI effects are uncommon, but mild nausea or stomach discomfort could occur in sensitive patients
Maintenance doses are then tailored to keep those levels topped up, and their duration of effect is directly tied to the prescribed frequency (e.g., a shot every 12 weeks for many)
for this reason, some clinicians recommend an intradermal test dose in individuals who may be at risk of thiamine allergy
When B12 levels are low, symptoms like brain fog, irritability, low mood, and difficulty concentrating often follow