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Red or purple chromaturia is a side effect of hydroxocobalamin, typically resolving over several weeks.2 Additional causes of red urine include blood (e.g., traumatic catheterization, malignancy, infection), dietary ingestion (e.g., beets), and medications (e.g., rifampin, phenothiazines).3 Although benign and not warranting further evaluation by itself, hydroxocobalamin-induced discolouration of body fluids may interfere with colorimetric sensors

Adaptation phase (after 23 months): For most people, the digestive system begins to adapt

Then recheck your volume and adjust if needed

Your body may have too much oxidative stress, which can drain energy

Insurance note: These are generic, inexpensive ($4-15/month)