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Although B complex vitamins are water-soluble and excess amounts are typically excreted in urine, large doses can lead to adverse effects

(More information) Vitamin B 12 deficiency is commonly associated with chronic stomach inflammation, which may contribute to an autoimmune vitamin B 12 malabsorption syndrome called pernicious anemia and to a food-bound vitamin B 12 malabsorption syndrome

The effects can last for days to weeks, depending on individual metabolism and overall health

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