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However, certain medications can affect its efficacy

[9] High-dose niacin (used to treat cholesterol) lacks human safety data in pregnancy and could theoretically affect the fetus (for example, by causing hypotension or altering lipid metabolism)

Call your prescriber to report the dosing error and get guidance for resuming your schedule

Product Brochure 500/Vial Cyanocobalamin injection is used to treat and prevent a lack of vitamin B12 that may be caused by any of the following: pernicious anemia (lack of a natural substance needed to absorb vitamin B12 from the intestine)

For more information on B-vitamin safety, the Linus Pauling Institute at Oregon State University is a great resource