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For patients aiming to improve red blood cell production or normalize serum B12 levels, both forms can succeed

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Observed effects in human trials Reported adverse events across the IV and oral trials included headache, fatigue, dizziness, nasopharyngitis, diarrhea, flatulence, increased appetite, nausea, and back pain

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Causes In most cases, pathologically elevated cobalamin levels underlie certain diseases or organ dysfunctions , especially those affecting liver tissue