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Still, side effects from B12 supplements are possible, especially at higher doses, and include: Headache Nausea Vomiting Fatigue Weakness Diarrhea Tingling in the hands and feet Nasal spray Vitamin B12 is also available in a nasal spray

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Some of the best dietary sources of B12 include [3]: Beef Turkey Salmon, tuna, and clams Eggs Milk, yogurt, and cheese Nutritional yeast Fortified breakfast cereals Bananas and strawberries Spinach Kidney beans Due to dietary restrictions, vegetarians and vegans are at risk of low levels of B12

11 Bone marrow suppression is common and potentially affects all cell lines, with megaloblastic anemia being most common

(Provides pharmacological details on pyridoxine, including its role as a coenzyme in neurotransmitter synthesis and interactions such as the antagonism of levodopa and reduction of phenytoin levels)