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Common side effects are rare but may include: Mild gastrointestinal symptoms such as nausea or diarrhoea (though less common with sublingual than oral routes) Headache or dizziness in some users Skin reactions, including itching or rash, particularly in individuals sensitive to cobalt (a component of cobalamin) Unlike some other B vitamins, oral B12 supplements rarely affect urine colour

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It is not scheduled under the Controlled Substances Act, but products marketed as "MK-677" capsules or powders are unapproved drugs under FDA rules, and in practice it is sold almost exclusively online as an unregulated "research chemical" labeled not for human consumption

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