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One study found that the combined intake of both preparations over a period of two months was able to reduce lactate levels and headaches

Other common systemic side effects include constipation, diarrhea, headache, and fatigue

But you can also use B12 shots for cold and flu symptom relief

Additionally, patients should be observed for signs and symptoms of megaloblastic anemia, such as fatigue, pallor, and anorexia

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