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Serious Side Effects Less common but more serious side effects can include acute pancreatitis (severe abdominal pain that does not resolve), acute gallbladder disease (upper stomach pain, jaundice, fever), acute kidney injury (often related to dehydration from GI side effects), serious allergic reactions, hypoglycemia (especially if taking other diabetes medications), and mental health changes including suicidal thoughts

Talk to your doctor if you experience any allergic symptoms like: Hives Swelling of the face, lips and tongue Difficulty breathing Side effects on high dosing If you take very high doses of vitamin B12, above the RDA values, you might experience additional side effects like: Headaches Dizziness Nausea Vomiting It is crucial to stay within the recommended dosage range to avoid these issues

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[54] The Gila monster has also seen usage as a mascot and state symbol