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High levels of homocysteine are associated with an increased risk of developing cardiovascular disease

Potential Side Effects Reported side effects may include: Injection site pain, redness, or bruising Nausea or gastrointestinal discomfort Headache Dizziness Fishy body odor (associated with choline metabolism in some individuals) Allergic reaction seek immediate medical attention if you experience hives, swelling, difficulty breathing, or chest tightness Contact your prescribing provider promptly if you experience unexpected or concerning symptoms

Others may notice gradual improvement over the first few days

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Many people develop low vitamin B12 levels gradually