A minor inconvenience, not a catastrophe
Universal effects include severe dryness of lips and skin, while more concerning associations include mood changes, depression, elevated liver enzymes, altered lipid profiles, musculoskeletal pain, and most critically severe teratogenicity requiring enrollment in mandatory risk-management programs (iPLEDGE in the United States)
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Moreover, B12 injections may contribute to cardiovascular health by helping to lower homocysteine levels, an amino acid associated with an increased risk of heart disease