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Incorporate sources of vitamin B12 into your diet, such as meat, dairy, eggs, and fortified foods, to maintain optimal levels

Once your B12 levels are stabilized and your symptoms improve, the team will typically transition you to a maintenance schedule

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Documented side effects are usually mild to moderate: Injection-site pain, redness, or bruising Flushing Increased heart rate Nausea or gastrointestinal upset Headache Urinary changes or a fishy body odor at higher choline doses Because these are compounded products, sterile technique, pharmacy sourcing, and formulation verification matter