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Other reported effects include: Headaches and dizziness Nausea and gastrointestinal discomfort Allergic reactions to B12 formulations (rare) If you experience symptoms suggesting a severe allergic reaction (difficulty breathing, severe rash, swelling of face/throat), seek emergency medical attention immediately by calling 999 or attending A&E

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[9] In general, any patient with nutritional deficiencies, liver disease, or other serious comorbidities should use ALA only under a physician’s guidance, with appropriate monitoring