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Most healthy individuals experience minimal side effects beyond initial water retention, which contributes to the early weight gain many users notice

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Seek immediate provider guidance if you experience persistent severe nausea, vomiting, abdominal pain, unexplained weight loss beyond intended, or signs of B12 deficiency such as peripheral neuropathy or severe fatigue

In a sick cat, symptoms such as lethargy, loss of appetite, vomiting, diarrhea, and constipation may be partly due to B12 deficiency