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Keep a healthy body weight

Common side effects are rare but may include: Mild gastrointestinal symptoms such as nausea or diarrhoea (though less common with sublingual than oral routes) Headache or dizziness in some users Skin reactions, including itching or rash, particularly in individuals sensitive to cobalt (a component of cobalamin) Unlike some other B vitamins, oral B12 supplements rarely affect urine colour

Constipation and other gastrointestinal (GI) issues can occur because the medication slows digestion

2007;2(12):e1309