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Citicoline is an intermediate in the synthesis of phosphatidylcholine, a constituent of the gray matter of brain tissue

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This makes the risk of B12 toxicity extremely low for most people

Reported Side Effects: Injection site reactions (most common) Headache Mild water retention Transient dizziness Fatigue (temporary) Joint stiffness (with GH elevation) Rare/Serious (requiring immediate attention): Significant swelling of hands, feet, or face Chest pain or shortness of breath Vision changes Allergic reactions FDA Concerns: Immunogenicity risk Limited clinical safety data Classified as Category 2 bulk drug substance presenting significant safety risks Regulatory Status United States: Not FDA approved for any indication