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Any discussion of interactions between these two compounds is therefore necessarily theoretical, based on their individual mechanisms of action and general pharmacological principles

If the reason is less clear, the care team may recommend review of symptoms, outside records, or broader follow-up before turning B12 into a repeating plan

Research indicates that low maternal B12 status is associated with a higher risk of adverse outcomes, including neural tube defects, preterm birth, low birth weight and potential impacts on cognitive development, although evidence of direct causation remains limited

When to worry about pharmacy differences Contact your new pharmacy if the color is dramatically outside the expected range

Schijns W, Homan J, van der Meer L et al (2018) efficacy of oral compared with intramuscular vitamin B-12 supplementation after Roux-en-Y gastric bypass: a randomized controlled trial