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If side effects do occur, they are generally mild and may include: Pain, discomfort, swelling, or redness at the injection site Diarrhea Headache Bloating Nausea Numbness or tingling Serious side effects are rare and may include: Confusion Dizziness or fainting Muscle pain, cramps, or weakness Extreme thirst Facial flushing Frequent urination Palpitations Fatigue Difficulty breathing Coughing or noisy breathing (wheezing) Extreme pain, swelling, warmth or tenderness in one leg Difficulty swallowing Rash Itching over the body If you experience serious side effects, contact your doctor right away

Patients should inform their healthcare provider if they experience any of these side effects

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[1] [3] Hypersensitivity to cobalt or any cobalamin is a contraindication to B12 injections

Human: limited pilot data suggesting endometrial benefit, no robust fertility trials