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Side effects from B12 supplementation are uncommon but may include: Mild gastrointestinal symptoms such as nausea or diarrhoea, typically with very high oral doses Headache or dizziness in some individuals Skin reactions (rash, itching) at injection sites when using intramuscular preparations Rare but serious allergic reactions, including anaphylaxis with injectable forms Hypokalaemia (low potassium) may occur during rapid correction of severe megaloblastic anaemia If you experience symptoms of a severe allergic reaction (difficulty breathing, severe rash, swelling of face or throat) after taking B12, seek immediate medical attention

In a clinical setting, a low white cell count is called leukopenia

Yu C, Li CH, Chen S et al (2018) Decreased BDNF release in cortical neurons of a knock-in mouse model of Huntingtons disease

Phase 4: 1.7mg weekly (weeks 13 through 16) This dose pushes deeper into appetite suppression territory