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Both sublingual vitamin B12 supplements and B12 injections can be appropriate depending on your specific circumstances

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Patients should maintain consistent hydration and report dark urine, dizziness, or reduced urination to their healthcare team immediately

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Reports also indicate that compounded products are being combined with B vitamins or levocarnitine, additives that are claimed to bolster the drugs impact on weight loss, but may introduce new interactions impacting safety or effectiveness (Blum, 2023)