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What are the possible side effects of high-dose B12 therapy

These peripheral and central deficits can include severe gastrointestinal lesions, intracranial (superior sagittal sinus) hypertension, brain swelling and lesions, portal and caval hypertension, aortic hypotension, peripheral and central thrombosis, inferior caval vein and superior mesenteric vein congestion, azygos vein failure, electrocardiogram (ECG) disturbances, and heart, lung, liver, and kidney lesions (Vukojevic et al., 2018

The profound fatigue that comes with pernicious anaemia isn't the kind sleep can fix

As of May 2026, formal FDA publication is still pending