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Thiamin supplements may also help for people who experience: malabsorption syndrome severe, prolonged vomiting gastric bypass surgery renal replacement therapy hyperthyroidism People who are pregnant, lactating, or use diuretics may also benefit from vitamin B1 supplements

Ovarian cysts Similar to endometriosis, ovarian cysts can lead to heavy, irregular periods, and spotting in between periods

In other words, toxicity from B12 is extremely rare

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It is important to follow the injection instructions provided by a healthcare provider or pharmacist, as well as any additional instructions that may be provided by the manufacturer of the specific B12 product being used