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Phase 2: maintenance (ongoing) After the loading phase, transition to maintenance dosing

With that said, taking too much oral, intranasal, or intramuscular B12 may cause some of the following symptoms: Headaches Nausea and vomiting Diarrhea Tingling in the hands and feet Fatigue or weakness You should be aware of medication interactions with B12, such as metformin and proton pump inhibitors (PPIs)

Its critical for energy production, helping convert food into glucose to fuel your body, and essential for maintaining healthy nerve cells, including the formation of the myelin sheath that insulates them

In general, individuals who cannot absorb vitamin B12 correctly may have pernicious anemia