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Medicines which can decrease the absorption of Vitamin B12 include: Colchicine (a medicine used to treat gout) Metformin (an anti-diabetic agent) Excessive Alcohol Vitamin C products
Then maintenance treatment can begin
Intramuscular vitamin B 12 can be administered in two different forms: cyanocobalamin and hydroxocobalamin
This format is practical for ongoing therapy and reduces the need for frequent refills
This absence of metabolic disruption at chronic supra-therapeutic doses provides indirect reassurance about acute overdose safety
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