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Gather Your Supplies Before starting, make sure you have all the items youll need within reach, such as: Medication vial(s) Syringe and needle Alcohol swabs Sharps disposal container Gauze or cotton pads Having all your supplies ready ahead of time helps the process go smoothly

Several medications can interact with vitamin B12 or affect its absorption, including: Metformin (diabetes medication) Proton pump inhibitors and H2-receptor antagonists (acid-reducing medications) Specific antibiotics (neomycin, chloramphenicol) Colchicine (gout medication) Aminosalicylic acid Nitrous oxide (inactivates vitamin B12) Allergic reactions to vitamin B12 are extremely uncommon but can occur

The tetracycline was the culprit. It took a long time for this womans problem to be diagnosed

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