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In certain circumstancessuch as pregnancy, concurrent illness, or rapid metabolic turnoverB12 requirements may increase, and dosing adjustments may be necessary under medical supervision

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The most common side effects reported by patients include: Nausea Dizziness Hot flashes Blood pressure fluctuations Liver and kidney complications To reduce the risk of an adverse side effect, make sure you advise your doctor about all medical conditions you might be experiencing and any drugs you are taking to treat them

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