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Cephalalgia 38 , 10491056 (2018)

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Before taking a B12 shot, tell your doctor if you: Are allergic to B12, cobalt or any multivitamin combinations Have vision issues or Lebers disease (a genetic condition that causes vision loss) Have any infections Have been diagnosed with folic acid deficiency or iron deficiency Are pregnant, breastfeeding, or planning to get pregnant Are taking any supplements, including herbal supplements Are taking any medications, such as folic acid, methotrexate, chloramphenicol, colchicine, para-aminosalicylic acid (PAS), or pyrimethamine Have liver or kidney disease Have a drinking problem Health News Agencies In New York And Beyond Pass The Buck On Opioid Cash Oversight How Does ADHD Affect Athletes' Concussion Risk

Some medications that may interfere include metformin, PPIs, chloramphenicol, some antibiotics, and anticonvulsants

Vitamin B12 supplementation may be helpful for people at risk of deficiency, such as those on vegan diets, patients with certain gastrointestinal conditions, or those taking metformin