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Instead, let the water run down the side of the glass and gently swirl or roll the vial between your palms until the powder is fully dissolved

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Adding vitamin B12 may help reduce certain side effects, like fatigue, for some people

Your clinician should talk you through potential next steps, which may be menopause care, joint evaluation, a gastrointestinal workup, physical therapy, or other forms of evidence-backed treatment

On the other hand, those with methylation issues (MTHFR gene mutations carriers, for instance) do best on methylated B12, that is, methylcobalamin