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Still, side effects from B12 supplements are possible, especially at higher doses, and include: Headache Nausea Vomiting Fatigue Weakness Diarrhea Tingling in the hands and feet Nasal spray Vitamin B12 is also available in a nasal spray

M., Schlotz, W

Energy & Wellness Supports energy, recovery, and overall wellness from nutrient depletion

doi: 10.1093/jn/130.5.1239

Oral B12 is most effective for people who: Follow a diet that includes plants Experience mild symptoms Need daily support to stay healthy Like taking supplements at home Do not have absorption problems The American Academy of Family Physicians explains that taking B12 works well to treat mild issues and for general supplementation, provided there are no absorption problems