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Neomycin, colchicine, para-aminosalicylic acid, or excessive alcohol intake longer than two weeks may cause malabsorption of vitamin B12. Chloramphenicol and other drugs having bone marrow suppressant properties may cause a lack of therapeutic response to vitamin B12
Cloudiness or precipitation indicates aggregation or insolubility of degradation products
These reactions can occur after the first or subsequent doses and may present as severe allergic responses, including difficulty breathing, swelling, and potentially life-threatening shock Khatrawi2022Sajan2023Ullah2018
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