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Possible adverse effects may include: Injection site reactions : Redness, swelling, irritation, or discomfort Gastrointestinal symptoms : Nausea, vomiting, stomach cramps, or diarrhea Headaches or dizziness Allergic reactions : Rash, itching, shortness of breath, or facial swelling (rare) Increased heart rate or anxiety (typically temporary from B-vitamins) Fatigue or weakness if used improperly Elevated liver enzymes when taken in excess particularly with methionine or choline Insomnia if taken late in the day due to increased energy levels Who should avoid or use caution

Developmental Delays in Infants Infants born to B12-deficient mothers may show delays in motor skills, alertness, and feeding, especially in exclusively breastfed babies [*]

Orders placed before 15:00 CET are shipped the same business day from the Netherlands via PostNL, including on Saturdays

Rodriguez-Otero P, DSouza A, Reece DE, et al