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Pharmacol Rev 2016;68:9541013.ArticlePubMedPMC 30

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Starting at too high of a dose or increasing the dose too quickly can lead to symptoms such as indigestion, nausea, vomiting, diarrhea, or constipation

Other common side effects of B12 injections include: Diarrhea Headache Swelling (and not only at the site of the injection) If you experience any uncommon side effects, such as chest pain or hives, contact your health care provider immediately

For individuals taking Mounjaro who may be eating less due to appetite suppression, ensuring adequate B12 status helps maintain energy levels and neurological function during weight loss or diabetes management

If the powder has not fully dissolved, let the vial sit upright in the refrigerator for 5 to 10 minutes, then roll again