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The most common reports are mild stimulant-like effects (warmth, slightly higher resting heart rate), insomnia if dosed late in the day, and mild stomach upset with capsules

If folate deficiency is suspected, it is reasonable to give oral folic acid (0.4 1 mg/day) without doing laboratory investigation for deficiency at least until the hemoglobin and mean corpuscular volume normalizes (or longer if the underlying cause cannot be eliminated)

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Vitamin B12 injections, when administered by our experienced healthcare professionals, are generally safe and well-tolerated for most of our patients