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Homocysteine rises when there is not enough B12 in the cell fluid to support methylation, an important process where a methyl group is added to all sorts of molecules in the cell

Call Your Provider Promptly For Severe abdominal pain (possible pancreatitis) Persistent vomiting that prevents fluid intake Right-upper-quadrant pain that radiates to the back or shoulder (possible gallbladder issue) Sudden vision changes (rare, but reported) Symptoms of severe dehydration: dizziness on standing, dark urine, dry mouth For a deeper dive on what to expect over time, our side effect timeline guide walks through duration and management for each common issue

Sterile water contains no preservative, so the solution is only considered sterile for about 24 hours after the first puncture

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