Consult a licensed provider before treatment if you are pregnant or breastfeeding, have significant liver or kidney disease, have a history of allergies to any ingredient (including B12/cobalt), are taking other medications, or have unmanaged medical conditions
Oral glucose tolerance tests showed no impairment
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A blood test is the only way to confirm it
Keep in mind that eating a diet rich in meat, seafood, eggs, dairy, or products fortified with vitamin B12 provides enough of the nutrient for most people
True B12 toxicity symptoms are rare but may include skin reactions such as acne-like eruptions, mild gastrointestinal disturbances, and occasional headaches, particularly following injections