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Changes in vision In extreme cases, a lack of B12 may damage the optic nerve or plug up the blood vessels in the retina, causing blurry vision, double vision, sensitivity to light, and even vision loss, per research in Cureus

that can suggest infection or a larger local reaction that needs review

Less Common Side Effects Although rare, some individuals may experience: Dizziness Nausea Increased appetite Flu-like symptoms Anyone experiencing persistent or severe symptoms should stop use and seek medical advice

Most follow standard rules but some have exceptions