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Common 5 amino 1mq side effects are typically mild and transient, occurring primarily during the first 1-2 weeks of treatment

It could point to several things: A different cause: your fatigue might stem from thyroid problems, iron deficiency, or sleep apnea rather than B12

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Malabsorption due to digestive disorders, such as Crohns disease or celiac disease, can also lead to vitamin B12 deficiency

However, for higher dosage, you might require a prescription if it is an extreme deficiency which you suffer from