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I take cyanocobalamin as my B12 supplement for two reasons: its high stability and its track record of safety and efficacy

Fast responders may notice reduced morning stiffness or decreased pain during daily activities

A 2019 study found sublingual B12 supplements (aka the kind you put under your tongue) were even more effective than B12 shots

Fatigue or feeling cold during fast weight loss Fewer cravings for alcohol, snacks, or junk food (commonly reported) When to Slow Down or Stop Vomiting that does not stop within 24 hours Severe upper abdominal pain that wraps around to the back Yellowing of skin or eyes Severe dehydration signs (dizziness, very dark urine, racing heart) Rapid weight loss over 2 lb per week sustained for many weeks (lean tissue loss risk) 13