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Some formulations may include methylcobalamin, also known as Vitamin B12, and product appearance, concentration, packaging, and availability may vary by pharmacy and state
Fatigue accompanied by anhedonia, sleep disturbances, or changes in appetite beyond those expected from the medication warrants evaluation for depression, potentially using validated screening tools like the PHQ-9
If stomach pain persists despite these measures, discussing dose adjustment with the prescribing clinician may be appropriate
speak to your GP to explore your options
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