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Key warnings before taking this medicine Your health care provider needs to know if you have any of these conditions / situations: Kidney disease Lebers disease Megaloblastic anemia An unusual or allergic reaction to cyanocobalamin, cobalt, other medicines, foods, dyes, or preservatives Pregnant or trying to get pregnant Breast-feeding

Your provider will determine your optimal maintenance dose based on weight loss progress, side effect tolerance, and appetite control

Not intended for direct intravenous injection without proper medication reconstitution or dilution

Some individuals report feeling lightheaded or experiencing headaches after taking large doses of B12

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