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Other serious side effects can include dizziness or lightheadedness, swelling in the feet or ankles, severe shortness of breath or wheezing, chest pain or a fast heart rate, and bright red blood in the stools

Metabolic pathways: B12 is a cofactor in two critical reactions: Methylmalonyl-CoA mutase: Converts methylmalonyl CoA (from odd-chain fatty acids and some amino acids) into succinyl-CoA, which enters the Krebs (TCA) cycle to make ATP (cellular energy)

However, compounded medications are not FDA-approved, and the quality and consistency can vary between pharmacies

[DOI] [PubMed] [Google Scholar] Jabes B