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Common side effects: Talk to your doctor if any of these side effects bother you or do not go away after a few days: A slight dead arm for a couple of hours after the injection May feel slightly groggy the next morning but this will subside quickly pain, swelling or itchy skin where your injection was given feeling or being sick (nausea or vomiting) diarrhoea headaches feeling dizzy hot flushes In rare cases a rash can develop Serious side effects: Serious side effects are very rare but tell your doctor immediately if you get any of these symptoms after having treatment: irregular heartbeats or heartbeats that suddenly become more noticeable (palpitations) In rare cases, hydroxocobalamin can cause a serious allergic reaction (anaphylaxis)

In some cases, it may also help with hair growth due to its ability to promote the health of hair follicles

Headaches that resolve within an hour, brief dizziness when standing, or minor injection site redness fall into this category

Evidence on B12 and sleep is mixed: B12 helps regulate circadian rhythm in some contexts, yet high B12 status has been linked with shorter sleep in others

Additionally, the peptide's proposed anti-inflammatory properties (via modulation of TNF- and IL-6 in adipose tissue) and potential stimulation of chondrocyte metabolism offered biological plausibility for OA treatment

As it is not approved by the FDA, compounded semaglutide is a cash-pay product that bypasses the complex insurance billing