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[10] Gastrointestinal disturbances-including nausea, loose stools, and a transient fishy body-odor attributable to trimethylamine production from excessive carnitine and choline metabolism-occur in a minority of recipients and are usually self-limiting within 24 to 48 hours after injection

it can completely invalidate a study

When dietary changes or oral supplements just arent cutting itespecially for those with absorption issuesB12 injections often become the most effective way to get back on track

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