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Any healthy weight loss program will require some effort on your part, including exercise and proper nutrition

The following are adverse effects categorized by body systems (6): Neurological Corticosteroids may increase intracranial and intraocular pressure, leading to optic nerve damage and visual impairment

Cardiovascular (Heart and Blood Vessel) Complications In rare but serious cases, B12 replacement can lead to heart and blood vessel problems: Shortness of breath Peripheral edema (swelling in legs and arms) Rapid weight gain Pulmonary edema (fluid in lungs) Congestive heart failure (heart cannot pump effectively) Blood clots in vessels These complications arise from increased blood volume, thicker blood, and sudden changes in how hard the heart needs to work

In these cases, immune regulation and gut health should come first