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This concern is particularly relevant given the increasing popularity of off-label B12 use

The result: severe water retention, numbness and tingling in the hands (carpal tunnel symptoms from excessive GH), facial flushing, and paradoxically reduced GH output as the pituitary downregulates its response

Side effects are rare but may include mild pain at the injection site, headache, or nausea

Medical necessity : Proof that the injections are needed

A note for people taking VEG 1 If you take The Vegan Societys VEG 1 supplement, you can increase the absorption of vitamin B12 by splitting the tablet into two and taking half with one meal and half with another meal at least four hours later