Information summarized from existing preclinical and analytical literature
Possible known side effects of Saphnelo include: headache nausea vomiting fatigue increased risk for infections (Do not take this medication if you have a current infection.) hypersensitivity to the medication Learn more information about the SLE Workshop at HSS, a free support and education group held monthly for people with lupus and their families and friends.
Its best to check with your insurance to see if you can get coverage
JAMA Psychiatry
I know that many reading this will state that very high dose sublingual tablets are as good as injections, but the fact is they dont suit everyone, they are not available to everyone and your doctor may be unaware of their existence
Some people also have difficulty absorbing vitamin B12 as a result of bariatric surgery, pernicious anemia, obesity, Imerslund-Grsbeck disease, Addisons disease, or an intrinsic factor deficiency (12)