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Some common side effects of Vitamin B12 include headache, nausea, anxiety, nervousness, diarrhea, swelling, infection, severe itching of skin, loss of coordination and balance

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If vitamin B12 deficiency is not treated with a vitamin B12 supplement, then anemia, intestinal problems, and irreversible nerve damage may occur

Start with doses at the lower end of the dosing range

Alternatively, making small batches and storing refrigerated can extend shelf life without preservatives