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Adverse reactions following intramuscular (IM) injection have included anxiety, mild transient diarrhea, ataxia, nervousness, pruritus, transitory exanthema, and a feeling of swelling of the entire body

What the per-component trial data implies about combined effect

Restoring B12 levels can help alleviate common symptoms of deficiency such as fatigue, weakness, memory issues, and numbness or tingling in the hands and feet

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[1] Other rare side effects noted (mostly in older literature or high-dose use) include: polycythemia vera and peripheral vascular thrombosis in patients receiving repeated injections (though these associations are not well understood, they were listed in prior product literature as possible adverse events)