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Vials should also be kept away from direct sunlight and excessive heat

The most commonly reported side effects are mild and transient, including injection site reactions (redness, slight swelling, or tenderness), mild headaches during the initial days of use, and occasional dizziness or lightheadedness, particularly when starting the peptide

This is because folate supplementation may improve symptoms to the point that the B12 deficiency is not detected in tests, and therefore is not treated