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Seek medical advice if you are taking B12 supplements and experience: Persistent skin changes, particularly acne-like eruptions or rosacea worsening Unexplained headaches or dizziness that coincide with supplement use Gastrointestinal symptoms including nausea or abdominal discomfort Any allergic reactions such as rash or itching Call 999 or go to A&E immediately if you experience: Difficulty breathing Swelling of the face, lips, tongue or throat Severe rash or itching Other symptoms of severe allergic reaction after taking B12 These symptoms warrant review of your supplementation regimen

Withdraw the prescribed amount of bacteriostatic water

Many athletes use this to their advantage at the end of a steroid cycle to reduce the resultant loss in muscle usually experienced during this phase

Kamijo A, Sugaya T, Hikawa A et al (2006) Urinary liver-type fatty acid binding protein as a useful biomarker in chronic kidney disease