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If you are deficient in Vitamin B12, your homocysteine levels become elevated

Vitamin B12 can interact with some medications, such as: Always talk to your physician, nurse practitioner, or community pharmacist about any dietary supplements and over-the-counter vitamins or supplements you take, especially if you are taking other prescription medications to treat a chronic health condition

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I havent felt any negative side effects so far and overall feel better throughout the day

If absorption is poor, higher-dose oral treatment or B12 injections may be more appropriate