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Even moderate alcohol consumption can decrease vitamin B12 absorption by about 5-6% Symptoms of Vitamin B12 Deficiency Historical records suggest that Grigori Rasputin suffered from a vitamin B12 deficiency

Archived (PDF) from the original on 15 October 2019

Documented side effects are usually mild to moderate: Injection-site pain, redness, or bruising Flushing Increased heart rate Nausea or gastrointestinal upset Headache Urinary changes or a fishy body odor at higher choline doses Because these are compounded products, sterile technique, pharmacy sourcing, and formulation verification matter

once reconstituted with bacteriostatic water, it requires refrigeration at 28C and should be used within 28 days

Neurological symptoms may take several weeks to months to improve, with some deficits potentially persisting if treatment is delayed

Please consult the doctor if you have heart problems