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Every medication has risks and contraindications, and many of them are very nuanced and required educated, shared decision making between an individual and their healthcare provider. The American Diabetes Association (ADA) reports that about 40 million people in the United States are living with type 2 diabetes

Safety and Side Effects of Methylcobalamin and Adenosylcobalamin Side Effects and Safety Common Side Effects (mild to moderate) : Mild headache Nausea or upset stomach Skin rash or itching Rare Side Effects (moderate to severe) : Anxiety or nervousness Chest pain or shortness of breath Hypersensitivity reactions (e.g., swelling, severe rash) Safety Summary : Methylcobalamin is generally well-tolerated when taken as directed

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