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Seek medical advice if you are taking B12 supplements and experience: Persistent skin changes, particularly acne-like eruptions or rosacea worsening Unexplained headaches or dizziness that coincide with supplement use Gastrointestinal symptoms including nausea or abdominal discomfort Any allergic reactions such as rash or itching Call 999 or go to A&E immediately if you experience: Difficulty breathing Swelling of the face, lips, tongue or throat Severe rash or itching Other symptoms of severe allergic reaction after taking B12 These symptoms warrant review of your supplementation regimen

354 The COX-2 inhibitor celecoxib reversed endothelial dysfunction and improved brachial artery flowmediated dilation in patients with hypertension but had an adverse effect on prostacyclin production and increased blood pressure and thrombosis risk