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You may be short of breath or have a headache

If you do not have severe neurological symptoms, however, research suggests that very high-dose oral supplementation (typically 1,000 mcg daily) can effectively treat B-12 deficiency even in people who have compromised absorption due to lack intrinsic factor (a cause of "pernicious anemia") or from gastrointestinal disease or bowel resection (Lacombe, Am J Clin Nutr 2024

Potential common lipotropic injection side effects include, but are not limited to: stomach upset, diarrhea, urinary frequency/urgency/hesitancy, fatigue, elevated heart rate, and restlessness