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Always read the reconstitution instructions printed on the vial and confirm syringe units with your prescriber before the first injection

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Supplements and Down syndrome There are mixed data regarding whether people with Down syndrome require the active forms (versus inactive forms) of vitamin B12 and folate when taking a supplement

Treatment may need to be postponed, modified or avoided if you: Have a known allergy to Vitamin B12, cobalt or another ingredient in the medication Have previously experienced a serious reaction to a Vitamin B12 injection Have an active infection or significant inflammation at the proposed injection site Have certain blood, kidney or hereditary medical conditions Are taking medications that may interact with your treatment Are currently being investigated for unexplained neurological or hematological symptoms Have another medical concern requiring physician assessment Pregnancy or breastfeeding does not automatically prevent medically necessary Vitamin B12 treatment, but treatment should only proceed following an appropriate assessment by a qualified healthcare provider

Contaminants introduced during use or environmental exposure can make the solution unsafe for injection