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However, some patients may experience: Drowsiness Dizziness Dry mouth Headache Blurred vision Nausea Fatigue Contact your doctor right away if you experience signs of serotonin syndrome (a rare but serious reaction that can include rapid heart rate, confusion, and muscle twitching), irregular heartbeat, prolonged or painful erection (priapism), or worsening depression or suicidal thoughts

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Why heart rate is not a reliable metric for titrating VO max interval intensity [1:12:00]
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Leslie Greenbergs Blog The standard dosing protocol for vitamin b12 injection for dogs is defined as follows: Initially 250-1000mcg vitamin b12 is recommended according to size of dog