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Careful record-keeping of prescribing information, including quantity, frequency, and renewal requests, as required by state and federal law, is strongly advised

Alternatives to restrictive diets that focus on calories or specific nutrients have been found in recent research (209, 210)

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Possible side effects include[10]: Bloating or abdominal discomfort Nausea or vomiting Diarrhea Headaches Dizziness or feeling lightheaded Flushing or low blood pressure Rare but serious reactions, such as allergic responses or irregular heartbeat, have been reported, especially in individuals with heart conditions

Methylcobalamin is the bioactive form of B12