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Especially because side effect severity can vary from person to person. But Basina said there are red flags to watch out for if youre taking a compounded drug: Signs of severe dehydration such as fainting and confusion or not urinating for eight hours

Presence of B12-blocking drugs or hormones

According to a study published in PubMed Central (National Institutes of Health), intravenous administration of vitamin B12 provides a faster increase in B12 levels compared to oral supplementation, making it a potentially better option for patients with severe deficiency

Energy and activity People who feel less fatigued move more