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Commonly reported side effects include: Nausea Diarrhea Vomiting Constipation Stomach pain Decreased appetite Headache In rare cases, more serious side effects can occur, including pancreatitis, gallbladder problems, kidney injuries often related to dehydration from nausea or vomiting, serious allergic reactions, and changes in vision for type 2 diabetes patients

Its about increasing treatment options and personalizing it to each patients preferences and needs, the researchers wrote

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Some practitioners start with lower doses around 600-800mg to see how your body responds, then gradually increase if needed

Determinants of plasma methylmalonic acid in a large population: implications for assessment of vitamin B 12 status