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Documented side effects are usually mild to moderate: Injection-site pain, redness, or bruising Flushing Increased heart rate Nausea or gastrointestinal upset Headache Urinary changes or a fishy body odor at higher choline doses Because these are compounded products, sterile technique, pharmacy sourcing, and formulation verification matter

Some people may want to take an over-the-counter (OTC) pain reliever, such as ibuprofen or Tylenol (acetaminophen), after getting vaccinated

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Borderline results may warrant additional testing (methylmalonic acid or homocysteine)