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Drug interactions have not been extensively studied, warranting caution when combined with immunomodulatory or anticoagulant medications

Additional considerations include the comfort of the subject

After the initial six weeks, the injections can be tapered down to being given less frequently, often once every one to two months

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A B12 deficiency can mimic or exacerbate these conditions: Alzheimers Multiple sclerosis and other neurological disorders Mental illnesses like depression, anxiety, or bipolar disorder Cardiovascular disease Autoimmune disease Cancer However, sometimes B12 deficiencies can look a lot tamer and possibly go unchecked