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74 A meta-analysis comparing B12 alone and with lipoic acid found that the combination is more effective than B12 alone
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Before taking a B12 shot, tell your doctor if you: Are allergic to B12, cobalt or any multivitamin combinations Have vision issues or Lebers disease (a genetic condition that causes vision loss) Have any infections Have been diagnosed with folic acid deficiency or iron deficiency Are pregnant, breastfeeding, or planning to get pregnant Are taking any supplements, including herbal supplements Are taking any medications, such as folic acid, methotrexate, chloramphenicol, colchicine, para-aminosalicylic acid (PAS), or pyrimethamine Have liver or kidney disease Have a drinking problem RxList
Nonetheless, it should be used within a certain timeframe as recommended by the pharmacy (often 28 days after first puncture, per general guidelines for multi-dose vials, unless otherwise specified)
Vitamin B12 (Cyanocobalamin) 10,000 mg/ml Injection Hematopoietic Pernicious anemia with or without neurological complications
therefore, therapy with corticosteroids should be used cautiously in these patients
