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When to see a doctor Please seek medical advice promptly if you have any of the following after a B12 injection: Chest pain, a fast or irregular heartbeat, or breathlessness

NNMT overexpression has been associated with metabolic dysfunction, obesity, and reduced NAD+ availability

[9] High-dose niacin (used to treat cholesterol) lacks human safety data in pregnancy and could theoretically affect the fetus (for example, by causing hypotension or altering lipid metabolism)

Contraindications and Precautions While B12 injections are safe for most, there are some exceptions: Knowing about these side effects and precautions can help avoid risks