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American Journal of Obstetrics and Gynecology

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Other reported effects include: Abdominal discomfort or cramping Bloating and increased flatulence Dyspepsia (indigestion) Acid reflux or heartburn Less common but important side effects include gallbladder problems (such as gallstones) and, rarely, intestinal obstruction

These effects are more common upon the initiation of therapy

Patients must understand warning signs and know when to seek care

B12 shots are a standalone service