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You should use this combination only when prescribed by a healthcare provider to ensure safety and effectiveness

A deficiency can cause skin discoloration, changes in hair texture, and nail issues

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Still, side effects from B12 supplements are possible, especially at higher doses, and include: Headache Nausea Vomiting Fatigue Weakness Diarrhea Tingling in the hands and feet Nasal spray Vitamin B12 is also available in a nasal spray