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Individuals with certain medical conditions may require evaluation before starting therapy

Cyanocobalamin: Properties and Indications Cyanocobalamin is a man-made Vitamin B12

Frequent (greater than 20% incidence): Nausea (39%) Diarrhea (21%) Very Common (10 to 20% incidence): Constipation (19%) Vomiting (16%) Headache Decreased appetite Dyspepsia Common (1 to 10% incidence): Abdominal pain Fatigue Dizziness Injection site reactions Gastroesophageal reflux Flatulence Rare but Serious: Pancreatitis (0.3% in clinical trials

Most people feel a genuine lift in energy within about 24 to 72 hours, with the fuller benefits building steadily over the following days and weeks as your levels stabilize

Pyridoxine is categorized as pregnancy category A, meaning controlled studies have shown no risk to the fetus