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Some sensitive patients may benefit from microdosing (below 0.25 mg) or customized compounded formulations to improve tolerance

Allergic Reactions : Although rare, some people may have an allergic reaction to the ingredients in the injections

Caution is advised regarding the use of oral supplements in patients with pernicious anaemia, meaning that careful monitoring of symptoms would be required, and is not generally advised in patients with neurological symptoms, owing to limited efficacy and potentially serious impact of permanent neurological damage[25]

Light Protection: Protect from direct sunlight and strong light exposure

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