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Common side effects associated with B12 supplementation include: Local injection site reactions (for intramuscular preparations): Pain, redness, or swelling at the injection site Mild bruising or tenderness Itching localised to the injection area These reactions are usually self-limiting and resolve within 2448 hours

This means you haven't delivered the full dose

In a study of transgenic mice with a Kras G12D mutation which induces PanINs and eventually pancreatic cancer, treatment with exendin-4 increased higher grade PanIN lesions (35, 38)

Weight loss in weeks one through four is typically modest

However, the evidence supports optimizing a single agent firstadjusting dose, frequency, and duration under provider supervision