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They are particularly effective when they are combined with a proper weight-loss diet and exercise regimen

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Diarrhoea (defined as three or more loose or watery stools per day) is an uncommon side effect of vitamin B12 supplementation , though it is listed as a rare or uncommon adverse reaction in the official product information for both oral cyanocobalamin and injectable hydroxocobalamin preparations

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The doctor may also recommend additional tests to find out just why an older person has developed low vitamin B12