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Given all these factors, many in the medical community urge extreme caution

B12 supplements can interact with certain medicines, including: Chloramphenicol (Chloromycetin Sodium Succinate) Proton pump inhibitors Metformin (Glucophage, Glumetza, Riomet) Gastric acid inhibitors If youre taking any of these medications, talk to your doctor or pharmacist before starting a B12 supplement

An example of this is sudden infant death syndrome traced back to high body serum levels of thiamin

For multi-dose vials, bacteriostatic water is strongly preferred

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