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Fatigue and weakness are often the first indicators that B12 levels are dropping

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In these situations, your healthcare professional should consider transferring you to better, shorter-acting prescription medicines or, in some cases, adjusted doses of common medications

Drug/Laboratory Test Interactions Persons taking most antibiotics, methotrexate, and pyrimethamine invalidate folic acid and vitamin B 12 diagnostic blood assays

This medication may be suitable if other treatments have not been effective