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This makes it a promising option for individuals seeking long-term solutions rather than temporary relief

Interactions with drugs: Chloramphenicol can impede on the red blood cell producing properties of B12 Other drugs that decrease or reduce absorption of B12: antibiotics, cobalt irradiation, colchicine, colestipol, H2-blockers, metformin, nicotine, birth control pills, potassium chloride, proton pump inhibitors such as Prevacid, Losec, Aciphex, Pantaloc, and Zidovudine

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Avoid herbal supplements with hypoglycemic effects (bitter melon, fenugreek, berberine) that may increase low blood sugar risk, and stimulant-containing weight loss products that may worsen cardiovascular risks

You can certainly see that it is quite small and sealed and at first glance doesnt look much