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Over-the-counter simethicone preparations may also be considered if advised by your doctor

Like B12 shots, oral supplements are generally safe (4), even if you take more than the recommended 2.4 pg/mL per day

But some will notice side effects, minor or annoying, yet not dangerous

Relation to 96372: Use in conjunction with 90471 when more than one vaccine is administered during the same encounter

If you have ongoing risk factors (e.g., metformin use, vegetarian diet, or GI disorders), periodic rechecks can help ensure levels remain within the optimal range

Some people have lost a significant amount of weight, while others mention issues such as nausea or tiredness in the first few weeks