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Although side effects to the injections are rare, and they are generally well tolerated, it is possible that some people can experience mild adverse effects

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Additional risk factors include having your gut operated on, pancreatic insufficiency, small intestinal bacterial overgrowth (SIBO), parasite infections, and certain autoimmune disorders

So its worth getting your levels checked, even if you feel perfectly fine (12)

Take note and inform your doctor of unusual reactions to the peptide

However, high B12 levels in the blood can be a sign of underlying kidney or liver disease, indicating that these organs are struggling to get rid of excess B12