Oral B12 (given sublingually) MB12 liquid The research used 500 mcg per day Although B12 is a very safe vitamin, always be on the lookout for these symptoms when using high doses: Headache Nausea and vomiting Diarrhea Fatigue or weakness Tingling sensation in hands and feet Possible explanations for elevated B12 (without supplementation) in the blood SIBO (Small Intestine Bacterial Overgrowth) SIBO may cause very elevated levels of B12 in the blood
Management of Hyperglycemia in Type 2 Diabetes, A consensus report by the american diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)
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There can be nutritional issues and true adverse side effects. Common side effects include nausea (44% of patients), diarrhea, vomiting and constipation