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Too much vitamin D can cause calcium buildup in blood, while excess B12 may lead to stomach issues

Side effects are minimal

Effect of tesofensine on bodyweight loss, body composition, and quality of life in obese patients a randomised, double-blind, placebo-controlled trial

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One side effect of high dose vitamin B12 is your urine changing colour to bright/neon yellow

This could lead to an Ozempic B12 deficiency, which is especially concerning for those who use B12 injections or oral supplements as a way to promote better neurological health, DNA synthesis, and red blood cell production