These local reactions are common and usually fade in days
Safety and Research Limitations Importantly, No adequate clinical evidence defines safe human exposure, maximum tolerated dose, reproductive toxicity, carcinogenicity, genotoxicity, cardiovascular risk, liver safety, kidney safety, endocrine effects, or drug interactions
If this happens, its safest to dispose of the pen and use a new one
Certain antibiotics may interact with the cyanocobalamin component through effects on vitamin B12 metabolism or efficacy
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