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Clinical trials have not reported serious side effects at doses up to 1,000 mg per day
Burrin DG, Stoll B
If the provider is vague when answering questions about their qualifications, the procedure, or potential side effects, its best to walk away
While these fluctuations are generally mild, they can be concerning for individuals with pre-existing cardiovascular conditions
As an aside, we are unsure if the fatigue is purely down to B12 deficiency or if its long covid" If your B12 deficiency is not due to diet, I'd expect GP to at least test you for PA and Coeliac disease, two autoimmune conditions that can lead to B12 deficiency
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