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Therefore, for anyone considering such a combination, the following apply: Extreme Caution and Medical Supervision: This is not a self-experimentation endeavor

The oral form is not dependable

You may not get enough B12 in your diet if you are: Vegan Vegetarian Over 50 Living with digestive conditions that affect nutrient absorption, such as IBS, celiac, or Crohns disease Taking certain medications like metformin or proton pump inhibitors (PPIs) What are the symptoms of B12 deficiency

For more in depth information on potential side effects, read this article from WebMD

Supplementary tablets can be taken to account for a lack of Vitamin B12 in the diet