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If you suspect you've experienced a side effect from a vitamin B12 supplement, you can report it through the MHRA Yellow Card Scheme (yellowcard.mhra.gov.uk)

[8] B12-deficient patients at risk for Lebers optic atrophy from chronic cyanide intake (e.g., smoking) should not be given cyanocobalamin due to the risk of irreversible neurological damage

Certain conditions may blunt or impede therapeutic response to cyanocobalamin therapy

(Stabler & Allen, 2004), which arises from the gradual decrease in both gastric acidity and production of intrinsic factor (Asselt et al., 1998)

Is it safe for me to selfadminister vitamin B12 (cobalamin) injections during pregnancy?

2-Phenylbenzo[h]chromen-4-one (?-naphthoflavone