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Handling and use of these products should be restricted to suitably qualified professionals.

In a case series study from New York of people with overt neurological symptoms from B12 malabsorption, MMA levels ranged from 755 to 187,000 nmol/l (Lindenbaum, 1988)

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Common side effects include nausea, headaches, fluid retention, and injection-site irritation, per Chicago Arthritis and Couture Med Spa

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