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Now, as I said, B12 and low B12 levels are normally associated with intestinal health and digestive function

Still, side effects from B12 supplements are possible, especially at higher doses, and include: Headache Nausea Vomiting Fatigue Weakness Diarrhea Tingling in the hands and feet Nasal spray Vitamin B12 is also available in a nasal spray

Also tingling developed on my hands

Keep the container tightly sealed when not in use

Low levels of stomach acid, medications, excessive alcohol consumption, and other issues like surgeries and health conditions can all contribute to a diminished ability to absorb the needed amounts of B12