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When we talk about the 'root-cause' of hormonal imbalances or persistent fatigue, we are almost always talking about a dysregulated microbiome
This is because not all of the cyanocobalamin can be properly converted to the active form, and the leftover must be flushed out of the body
Potential Side Effects: Gastrointestinal effects (most common): nausea, vomiting, diarrhea, constipation, abdominal paintypically mild to moderate and decreasing with gradual dose escalation [1] [3]
If these persist or worsen, contact your healthcare provider immediately