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Common side effects include: Nausea and vomiting Diarrhoea or constipation Reduced appetite (which is also a therapeutic effect) Injection site reactions (redness, bruising, or mild discomfort) These effects are typically mild to moderate and tend to resolve as the body adjusts to the medication

44 Suppl 1: 5-15

The actual milligram dose depends entirely on the concentration, which is why getting your reconstitution right matters so much

Below, we explore when vitamin B12 may support health versus when elevated levels could signal potential concerns so you can make a more informed decision about supplementation and your long-term wellness