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Overdoses of vitamin B12 are rare since it has a low toxicity level as a water-soluble vitamin excreted through the urine

The treatment is regarded as relatively safe, but like any medicine, has potential side effects: Diarrhoea Dizziness Headache Hot flush Nausea Skin reactions Urine discolouration If you are allergic to cobalt please notify your clinician (1-3% of the population have this allergy)

Another digestion-related risk factor for B12 deficiency is small intestinal bacterial overgrowth, commonly known as SIBO , which may be present in up to 50 percent of people with Hashimotos

Compounded lipotropic preparations are not reviewed or approved by the FDA for safety, effectiveness, or quality before they are marketed

But if your B12 is high without supplementation , it can be a marker for underlying conditions that require medical evaluation, including liver disease, kidney dysfunction, and certain cancers