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When symptoms are attributed to high B12 intake, they typically include: Skin reactions : Acne-like eruptions or rosacea-type rashes, particularly with hydroxocobalamin injections (listed as rare adverse effects in the product information) Gastrointestinal disturbances : Mild nausea, diarrhoea, or abdominal discomfort Headaches : Occasional reports of headache following B12 injections Anxiety or restlessness : Anecdotal reports, though causation remains unestablished It is crucial to distinguish between symptoms caused by elevated B12 levels and those arising from the underlying conditions that elevate B12

Under the Common Conditions Service, our trained pharmacists can assess and treat: Allergic rhinitis Cold sores Conjunctivitis Impetigo Oral thrush Shingles Cystitis, an uncomplicated urinary tract infection Vaginal thrush If treatment is clinically appropriate, the pharmacist can also prescribe medication

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Cancers 12 (4), 822 (2020)