Both oral cyanocobalamin and injectable hydroxocobalamin list diarrhoea as a rare adverse reaction in UK product information
Water, stabilizer polydextrose, acidity regulator citric acid, carbon dioxide, mango emulsion (flavouring, colouring sunset yellow and tartrazine may adversely affect activity and attention of children), L-carnitine, taurine, flavouring, preservatives (potassium sorbate, sodium benzoate), sweetener acesulfame K, caffeine, sweetener sucralose
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These actions improve glycemic control and support weight loss
Many metabolic compounds work better when taken fasted, allowing peak blood concentrations before food consumption alters digestive processes