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Oral vitamin B12 may be appropriate for some people with dietary insufficiency, mild deficiency, or adequate absorption

Acute ischaemic stroke mixed, leaning cautious The 2023 Cochrane review found no clear clinical benefit and a moderate-certainty signal of more non-fatal serious adverse events

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Am J Gastroenterol 2004

This separation suggests theoretical safety for concurrent use, though formal drug-interaction studies have not been published in peer-reviewed journals