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Do not take this if you are allergic to cobalt or B12, or if you have a hereditary eye condition called Leber's disease

Rodent studies show systemic effects from oral dosing, implying mucosal absorption, but nasal spray is a distinct route with different epithelial barriers

similarly, potent CYP3A4 inhibitors could raise serum testosterone concentrations, whereas 5-alpha-reductase inhibitors counteract androgenic activity, highlighting the importance of comprehensive medication reconciliation at each visit

Vegans can find natural source of vitamin B12 in nutritional yeast, fortified cereals, fortified soy milk, fortified meat analogues (foods made using wheat gluten or soybeans to resemble animal flesh), as well as vitamin B12 supplements that are recommended to be taken during pregnancy and conception Pregnant women, particularly, must take special care to fortify themselves with all the nutrients for their developing babies

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