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Side effects and cautions B12 has no established upper limit due to low toxicity, but injections can have side effects: Common: soreness, redness or swelling at the injection site

For instance, L-carnitine supplementation is beneficial in reducing muscle cramps in patients with stroke [13], and it may also help manage conditions like chronic kidney disease [14]

Combine this with the fact that most people on SNRI medication are more severely depressed, and alcohol doesnt mix with SNRIs