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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

Anything beyond that should only be done under medical supervision, especially if you have thyroid, kidney, or liver conditions

In fact, because these medications reshape the gut microbiome [11] and commonly cause digestive side effects, supporting gut balance is a sensible complement to treatment for many people

Phase 3 TRIUMPH trials The Phase 3 program, called TRIUMPH, expanded to much larger populations across multiple indications