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Other side effects of high doses of vitamin B12 include: acne, face redness, insomnia, headache, and palpitations

Reports of temporary tiredness or mild headaches when first starting have been reported

People on certain medications: Some medications can interfere with the absorption or metabolism of vitamin B12, including proton pump inhibitors (PPI), metformin, nitrous oxide anesthesia, some epileptic medications, and colchicine (for gout)

Another consideration is the potential for dependency on these treatments

This gives athletes and support personnel sufficient time to make themselves aware of the changes, review any medications they use on Global DRO, and apply for a Therapeutic Use Exemption (TUE) if required before the updated List comes into effect on 1 January 2025

However, when fatty liver disease progresses to more severe forms, the situation may change