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For best results and safety, its important to follow the storage instructions that come with your medication

Common Scenarios : Used when larger doses of B12 are required, such as in cases of severe deficiency or during initial treatment phases where higher doses are necessary to quickly raise B12 levels

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The debilitating fatigue which seems to be the most common symtpom of B12 deficiency may be due to a combination of neurological factors, anaemia, and the role of B12 in the mitochondria

If NASCOBAL is used for the treatment of anemia concomitantly with chloramphenicol, monitor for reduced efficacy and if needed, consider an alternative therapy Risk Summary The limited available data on NASCOBAL in pregnant women are insufficient to inform a drug-associated risk of adverse developmental outcomes