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Common side effects are rare but may include: Mild gastrointestinal symptoms such as nausea or diarrhoea (though less common with sublingual than oral routes) Headache or dizziness in some users Skin reactions, including itching or rash, particularly in individuals sensitive to cobalt (a component of cobalamin) Unlike some other B vitamins, oral B12 supplements rarely affect urine colour

1 2 "Harmful and Sneaky Vitamin B12 deficiency | Unjury Protein"

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doi: 10.1111/j.1530-0277.2002.tb02627.x

Vitamin D deficiency promotes epithelial barrier dysfunctionand intestinal inflammation