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Common Side Effects The most frequently reported adverse effects include: Nausea Vomiting Diarrhea Constipation Decreased appetite Abdominal pain Dyspepsia (indigestion) Injection-site reactions Fatigue Most gastrointestinal symptoms occur during dose escalation and often diminish over time

That date assumes you dissolve the B12 in saline as soon as you receive the vial, whether you choose to store it in the fridge or a cool cabinet

Vitamin B12 deficiency can be due to a number of reasons

Then push the plunger a little bit, just enough to push out any trapped air

never shake

Remember, this common problem is frequently overlooked