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Nausea or Upset Stomach: Some people may experience gastrointestinal discomfort, such as nausea, vomiting, or diarrhea, although these side effects are rare

Damage to nerve tissue (peripheral neuropathy), leading to pain, numbness, and weakness in extremities: These can be caused by the vitamins role in the proper functioning of the nervous system

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Efficacy and Safety of Mecobalamin on Peripheral Neuropathy PubMed / systematic review article: Concludes that mecobalamin (alone or combined) may improve clinical outcomes and nerve conduction in peripheral neuropathy

HbA1c, glycated hemoglobin