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Uncommon (1-10 in 1,000): itching, rash, acne-like skin changes, joint pain

[1] In moderate deficiencies, feeling tired, feeling faint, mouth ulcers, rapid breathing, upset stomach, pallor, hair loss, decreased ability to think and joint pain and the beginning of neurological symptoms, including abnormal sensations such as, numbness and tingling, and tinnitus may occur

I lifted weights and did cardio for 6 days a week with a 1500 calorie diet and lost no weight using this product

But, this can change based on how bad the deficiency is and what each person needs

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Notably, the highest dose tested (54 mg) showed increased gastrointestinal event frequency compared to lower doses, suggesting a dose-relationship for this effect category