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Common side effects include: Nausea and vomiting Diarrhoea or constipation Reduced appetite (which is also a therapeutic effect) Injection site reactions (redness, bruising, or mild discomfort) These effects are typically mild to moderate and tend to resolve as the body adjusts to the medication

However, there is no evidence that B12 injections confer any greater benefit than does a good quality B vitamin complex, even in cases of B vitamin deficiency

Jamies philosophy is to treat the mind, body, and soul through a combination of Western medicine and naturopathic treatments

Patient education should emphasize the limited evidence base, experimental nature of treatment, and importance of ongoing monitoring