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For some people, they are debilitating enough to require dose reduction or discontinuation

Because clinical studies remain limited, the complete adverse-effect profile has not been established

That said, always check with your provider before adding new therapies to your regimen to avoid unnecessary overlap or interactions

For more information about generic drug approval and bioequivalence, you can visit the FDA website: Dosage: Generic cyanocobalamin is available in different forms and strengths: Vials: 1000 mcg/ml in 10 ml and 30 ml vials Ampoules: 1000 mcg/ml in 1 ml ampoules Your doctor will determine the appropriate dosage based on the individual needs and medical conditions

A doctor will suggest the best Vitamin B12 shots plan