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for a dose of 3.2 mg, use 20 units

The more frequent side effects during the titration phase tend to be gastrointestinal (nausea, diarrhoea, and constipation ) with tiredness typically affecting a smaller proportion of patients

That said, outside of certain sensitivities, allergies, or medical conditions, it's extremely difficult to take "too much" vitamin B12

[2] [3] It has a longer retention time in the body compared to cyanocobalamin and is converted to active forms as needed