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Clinical signs of B12 deficiency include nausea, vomiting, loss of appetite, poor absorption of food (malabsorption syndrome), constipation, gas, weight loss, fatigue, lethargy, abdominal pain, and diarrhea
If any side effect is severe, persistent, or worrying, stop taking the tablet and consult your doctor promptly for evaluation and further guidance
Instead, take your next dose 7 days after the early dose and resume your normal weekly schedule from that new day
Take the two medications four hours apart
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