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Side effects B12 injections are generally considered safe with minimal side effects when administered appropriately

Prolonged overdose of B6 (150-200 mg/day) over weeks can cause severe sensory-nervous-system dysfunction and ataxia.37 With normal usage serious adverse effects are not reported for pyridoxine (vitamin B6), however, diarrhoea, emesis and rosacea-like dermatitis may be observed in some cases (38)

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Continue hydrating your body by drinking plenty of water

The honest version of the economic argument is: we have an evidence gap because the incentives are broken