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Do not assume it is a normal adjustment symptom if it is intense, persistent, or accompanied by fever, repeated vomiting, yellowing of the skin, or marked weakness
This is especially important if you experience symptoms commonly associated with high vitamin B12 levels in the blood, including: 9 Gastrointestinal issues, such as nausea, vomiting, or diarrhea Headaches Tingling sensations in the hands and feet Weakness and fatigue Should I Be Concerned About High Vitamin B12 Levels
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