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Neomycin, colchicine, para-aminosalicylic acid, or excessive alcohol intake longer than two weeks may cause malabsorption of vitamin B12. Chloramphenicol and other drugs having bone marrow suppressant properties may cause a lack of therapeutic response to vitamin B12

Understanding these contraindications is essential for healthcare providers and patients to ensure safe and appropriate use of this compounded medication

They may also cause (10), (6): Stomach problems like diarrhea Urinary issues Fatigue Nausea Headache Body pain Allergic reactions (itching, hives i A skin rash caused by allergic reactions to stress and certain foods, medications, or other substances and may lead to bumps and itching

Vitamin B12 is mainly found in animal-based foods, milk, eggs and dairy products