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Vomiting was reported by 24% of the patients, diarrhea by 30%, constipation 24%, abdominal pain 20%, headache 14%, fatigue (tiredness) 11%, indigestion 9%, dizziness 8%, abdominal bloating 7%, flatulence 6%, loud burping 7%, low blood sugar (hypoglycemia) 6% and other side effects

Considerations for Patients with Neurological Manifestations Those with nerve or brain problems from Vitamin B12 lack often need strong treatment

doi:10.4093/dmj.2022.0221 20

We offer a detailed consultation to ensure your safety whilst prescribing

Progress slows if titration stalls, activity is low, or calorie intake stays high

The telehealth model means you can reach out without scheduling an in-person visit, which is especially helpful during these early adjustment weeks