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That candor is part of why patients keep coming back to this treatment

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Tell your clinician about any medicines that may affect vitamin B12 or folate testing, such as antibiotics, methotrexate, pyrimethamine, colchicine, para-aminosalicylic acid, or heavy alcohol use

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Nausea, vomiting, diarrhea, and constipation are common, especially in the early weeks of treatment