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The most common side effect is simply pain at the injection site
This metabolic shift occurs due to the peptides action on the nicotinamide methylation pathway , which increases intracellular NAD+ availability, facilitating greater oxidative metabolism
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Some people also mention nausea, headaches, dizziness, tiredness, or sleep changes
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Vegans and vegetarians are at particular risk, since B12 is found almost entirely in animal products
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