[Google Scholar] 38.Charles MA, Hofeldt F, Shackelford A, et al
Before diving into treatment options, theres an important distinction to make
Supporting normal bile production, healthy bile flow from the liver and gallbladder, and normal hepatic function.*
Higher-Caution Situations Extra medical supervision is important if you: have a history of reactions to injectable vitamins/cobalamins have significant kidney or liver disease are pregnant or breastfeeding are offered a compounded MIC B12 product without clear labeling of ingredients, concentrations, and compounding source The FDAs overview of compounding helps explain why quality can vary (see Compounding and the FDA: Questions and Answers )
2012;4:CD004426
Common symptoms include: Dizziness or light-headedness upon standing, particularly after prolonged sitting or lying down Blurred or tunnel vision Weakness, fatigue, or feeling faint Unsteadiness or loss of balance , increasing fall risk Syncope (fainting) , which may occur suddenly and without warning Nausea or clamminess , sometimes accompanying the drop in blood pressure These symptoms typically occur within seconds to minutes of standing and often improve upon sitting or lying down
