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It is the FDAs way of flagging a substance that may present significant safety risks when used in compounding

Do not chew, crush, or split the tablets, as this may damage the tablet structure and affect drug absorption

Sterile technique matters less for topical use since the preparation doesn't enter tissue directly

Seek emergency medical attention (call 999) if you experience: Difficulty breathing or swallowing Swelling of the face, lips, tongue, or throat Widespread rash or hives developing rapidly Severe dizziness or feeling faint Chest tightness or wheezing Anaphylaxis to hydroxocobalamin is uncommon but documented in the product information

Our medical team will assess your health and determine the most appropriate treatment plan