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You should not use Neo-B12 Injection if you: are allergic to Hydroxocobalamin or any ingredients in Neo-B12 Injection are pregnant or are breastfeeding are taking medicines that interact with Neo-B12 Injection, including oral contraceptives and the antibiotic chloramphenicol, without discussion with your doctor How should Neo-B12 Injection be taken

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[1] [2] Persistent gastrointestinal symptoms can lead to reduced nutritional intake, dehydration, and electrolyte disturbances, all of which may present as fatigue

After that, its typically followed by maintenance shots every two or three months to keep your levels topped up