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Excess B12 from high oral doses is primarily excreted through urine, which contributes to its low toxicity profile
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If symptoms return before the next planned injection, seek clinical advice instead of changing the schedule yourself
At clinical doses under supervision, the most common side effects are mild nausea in the first week (typically resolves by day 7 to 10), injection site reactions (redness, minor swelling, localized soreness lasting 24 hours), and occasional transient fatigue or mild headache in the first few days
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