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Even if you regularly consume B12-rich foods like meat, fish, and dairy, you might still need supplementation

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Use cautiously in patients with hyperthyroidism, hypertension and cardiac arrhythmias Side Effects: Transient and minor side effects of: Anxiety Tachycardia Headache Fear and palpitations occur with systemic therapeutic doses Adverse effects such as cardiac arrhythmias and excessive rise in blood pressure may also occur with therapeutic doses or inadvertent overdosage Side effects are more likely to be observed in hyperthyroid individuals Pharmacokinetics: Route of administration depends on the indication for its use : i.v., s.c., i.m., intranasal, via an endotracheal tube, or direct injection into the left ventricle

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