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Physicians Committee for Responsible Medicine

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Patients with a history of intestinal surgery, strictures, or blind loops may have bacterial overgrowth that can compete for dietary vitamin B 12 in the small bowel, as can infestation with tapeworms or other intestinal parasites

Some common side effects of this medicine are nausea, peripheral edema, ataxia, blurred vision, fever and nystagmus (involuntary eye movement)

B12 Deficiency Severity : If your B12 levels were extremely low, it may take longer for your body to adjust and for you to feel the effects