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Nausea (most common, typically dose-dependent and transient) Diarrhea or constipation during dose escalation Vomiting, especially when starting or increasing dose Reduced appetite and early satiety Injection site reactions (redness, bruising) Fatigue, particularly in early weeks Rare: Pancreatitis discontinue immediately with severe abdominal pain Rare: Thyroid C-cell effects (contraindicated with MEN2 or thyroid cancer history) Small-molecule NNMT inhibitor often discussed with metabolic protocols

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These injections typically require a prescription, which might be necessary in the following situations: Severe Deficiency: If you have a significant vitamin B12 deficiency confirmed by laboratory tests, our team can prescribe injections to quickly restore your levels

Many of these symptoms are not specific to B12 deficiency but can also occur in other disorders