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Some of the most common side effects (but not extremely frequent) are: fatigue or low energy difficulty sleeping nervousness and anxiety headache nausea or vomiting joint and muscle pain stomach cramps or pain Additional side effects include: loss of appetite diarrhea or constipation increased energy increased thirst dizziness skin rash sexual problems in males chills runny nose irritability or feeling down These symptoms may subside after the body adjusts to the medication

is additionally supported by the Louis Jeantet Prize 2015 awarded by the Louis Jeantet Foundation

Mention of a commercial or proprietary product does not constitute an endorsement or recommendation for its use by the USDA

Avoiding Common Pitfalls Double-Check Dosage : Always double-check the dosage before administration

While the metabolic evidence is limited to studies on rats,(1) what we do know is that B12 plays a major role in red blood cell production and formation, anemia prevention and healthy nervous system function

For patients that desire it, a topical anesthetic can be used