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Prescribed medications may be dispensed by licensed U.S

Common Side Effects Fluid retention & joints: Edema, joint and muscle pain, and carpal-tunnel symptoms are common, especially at higher doses

This includes people with: Pernicious anaemia (autoimmune destruction of intrinsic factor-producing cells), typically requiring lifelong IM injections Crohn's disease or surgical resection affecting the terminal ileum Coeliac disease causing malabsorption (may improve with gluten-free diet) Chronic pancreatitis reducing enzyme availability needed for B12 release Vegans and strict vegetarians need reliable B12 sources through fortified foods or supplements, as plant-based diets contain negligible amounts of active B12

If you want to try a complementary or alternative treatment, its important to talk to your doctor first