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Antibiotic medicines such as chloramphenicol: Concurrent use may interfere with the haematologic response to vitamin B12 therapy and reduce its effectiveness in treating anaemia

Risk factors for vitamin B12 deficiency include a decreased ability to absorb this vitamin due to low hydrochloric acid secretion, certain medications, or gastrointestinal disease and surgeries

Liver, kidney and allergic reactions have been reported with other forms (NOT methylcobalamin) of B12

Here are the five most common causes seen in rheumatology clinics: 1

Cyanocobalamin Injection, USP is also suitable for the vitamin B12 absorption test (SCHILLING TEST)

Using other medicines Taking multiple medicines