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Possible known side effects of Saphnelo include: headache nausea vomiting fatigue increased risk for infections (Do not take this medication if you have a current infection.) hypersensitivity to the medication Learn more information about the SLE Workshop at HSS, a free support and education group held monthly for people with lupus and their families and friends.

Since the body does not produce it naturally and one may miss out on the foods that possess this essential nutrient, supplements seem to be the best available alternative

Seek medical advice if diarrhoea persists beyond 7 days, contains blood or mucus, or accompanies severe abdominal pain or weight loss

Do not place the vial in the door of the refrigerator, as the temperature there fluctuates every time the door is opened

Amounts of vitamin B 12 that are recommended by the Food and Nutrition Board, National Academy of Science-National Research Council for pregnant women (4 mcg daily) should be consumed during pregnancy

Geneva: World Health Organization