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Acetyl-L-carnitine (levacecarnine) in the treatment of diabetic neuropathy: a long-term, randomized, double-blind, placebo controlled study

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Still, side effects from B12 supplements are possible, especially at higher doses, and include: Headache Nausea Vomiting Fatigue Weakness Diarrhea Tingling in the hands and feet Nasal spray Vitamin B12 is also available in a nasal spray

I was told to block off an hour for the procedure, though it can take much less time than that, depending on the number of areas treated