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excess is renally excreted, though very high levels can cause dermatologic or metabolic effects

But any decision to replace injections with tablets would be something more if the decision was to be taken without consulting the Pernicious Anaemia Society it would be arrogant and callous

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Drug Interactions: Persons taking most antibiotics, methotrexate and pyrimethamine invalidate folic acid and vitamin B12 diagnostic blood assays

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How I treat cobalamin (vitamin B12) deficiency