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Cardiovascular side effects, while less common, may include changes in heart rate, with some patients experiencing a mild increase in resting heart rate of two to three beats per minute on average

A more evidence-based way to evaluate whether something is helping is to track measurable outcomes with your clinician (for example, symptoms tied to confirmed deficiency, or objective metrics like body weight, waist measurements, and lab work when appropriate)

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Finally, avoid cyanocobalamin

For life-threatening symptoms such as chest pain, severe allergic reaction, or loss of consciousness, call 999 immediately