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General precautions: Always take it under doctor's supervision Tell your doctor if you're pregnant or breastfeeding Don't skip doses randomly, consistency matters Store tablets away from heat and moisture Medical conditions to mention: Kidney disease Any ongoing allergy history Leber's disease (a rare eye condition, B12 can worsen it) Drug interactions: Some antibiotics and metformin can reduce B12 absorption Always share your full medicine list with your doctor When to Consult a Doctor

Unfortunately many doctors do not take into account neurological symptoms and the patient is automatically placed onto a three monthly maintenance dose of B12 injections after loading doses

When Vitamin B Complex Injections Are More Appropriate Vitamin B complex injections are typically used when symptoms suggest functional or relative B-vitamin insufficiency rather than a single proven deficiency

Tips to Minimize Discomfort If youre worried about discomfort, take into account these suggestions to improve the experience: Stay Relaxed: Discomfort could be worsened by anxiety

[71] [72] Sources [edit] Bacteria and archaea [edit] Vitamin B 12 is produced in nature by certain bacteria and archaea