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Its stimulant nature makes it unsuitable for individuals with uncontrolled hypertension, heart disease, hyperthyroidism, or psychiatric conditions like anxiety disorders

The specific additives in your compounded formulation, whether methylcobalamin B12 or cyanocobalamin, glycine or another stabilizer, can affect tolerability and should be discussed with your prescriber

Diabetes Care 2019;42:172432

Prominent cheekbones with loss of underlying fat pads

Vomiting , though less common than nausea, is also frequently reported and may lead to dehydration if severe or persistent

And that makes a world of difference in your results