Nausea (most common, typically dose-dependent and transient) Diarrhea or constipation during dose escalation Vomiting, especially when starting or increasing dose Reduced appetite and early satiety Injection site reactions (redness, bruising) Fatigue, particularly in early weeks Rare: Pancreatitis discontinue immediately with severe abdominal pain Rare: Thyroid C-cell effects (contraindicated with MEN2 or thyroid cancer history) Small-molecule NNMT inhibitor often discussed with metabolic protocols
Instead, it inhibits an enzyme called NNMT, which shifts cell metabolism toward fat oxidation and muscle preservation
Cyanocobalamin is available in several dosage forms including the tablet, nasal spray, and injection
The most common B12 subcutaneous injection sites are the following: The upper arm To self-administer a B12 injection into the arm, pinch a thick skin layer of the side or back of the upper arm and insert the needle at a right angle
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