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It has interaction with vitamin b12 injection for cats, as both have influence upon red blood cell production so must not be used together

Yet, the short duration of the study did not permit a conclusion on whether the lowering of homocysteine through B-vitamin supplementation could have long-term benefits on bone strength and fracture risk (119)

B12 injections are generally safe, but some people may experience mild side effects such as redness or soreness at the injection site, slight dizziness, nausea, or mild diarrhea

One test cannot determine the cause

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Growth hormone & IGF research : official journal of the Growth Hormone Research Society and the International IGF Research Society, 11(5), 266272.