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Chloramphenicol is known to cause bone marrow suppression, especially when serum concentrations exceed 25 mcg/ml

This means that your body cannot produce it on its own, so you need to get it from outside sources

Note that these doses are specific to cyanocobalamin, the preferred supplemental form of vitamin B12, as there is insufficient evidence to support the efficacy of the other forms, like methylcobalamin

**Product contains benzyl alcohol as an inactive ingredient Contraindications for Benzyl Alcohol This preparation is not advised in patients who are sensitive to cobalt and/or vitamin B12

Start with 0.5 percent and increase to 1 or 2 percent if tolerance is good and results warrant intensification