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So, even though vitamin B12 is water-soluble (meaning your body typically excretes excess through urine), extremely high levels may occasionally lead to side effects, including: Headaches or dizziness Digestive issues, such as diarrhea Skin reactions like itching or rashes Allergic reactions (rare but very serious) To avoid this, it's important to consult with a healthcare professional to determine the correct vitamin B12 dosage for your needs

Highland Longevity takes a different approach: comprehensive 20+ marker lab panels, a dual board-certified physician who personally manages your care, individualized dosing based on your SHBG, metabolism, and goals, and a full longevity practice that addresses metabolic health and cardiovascular risk alongside hormone optimization

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| Target Concentration | BAC Water to Add | Dose per 10 units on syringe | |---------------------|-----------------|------------------------------| | 5mg/ml | 2.0ml | 0.5mg | | 10mg/ml | 1.0ml | 1.0mg | **Best for:** Patients on 1-2mg weekly doses during titration weeks 1-8

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5.6 Multi-fetal Gestation and Birth Multi-fetal gestation and births have been reported with all gonadotropin therapy, including therapy with GONAL-f