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Warnings and Precautions Hypokalemia: B12 therapy may cause a drop in potassium levels (hypokalemia), particularly during early treatment in patients with significant B12 deficiency

Direct Meds offers compounded versions of these medications

Place a second gel pack on top

Some symptoms mentioned online, like fatigue, do appear in trials but often at similar rates in placebo groups, making it unclear whether the drug is the true cause