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Nevertheless, consulting your doctor when you experience side effects from supplements or medications is advised

The first time I don't get flu, cold, whatever kind of infection

Keep the vial wrapped in aluminum foil to protect from light exposure, which accelerates degradation

This includes confirmed low serum vitamin B12 levels, pernicious anaemia, malabsorption states such as coeliac disease, inflammatory bowel disease, or post-gastric or bariatric surgery, unexplained anaemia, neuropathy or neurological symptoms consistent with vitamin B12 deficiency, a long-term vegan diet with symptoms or low levels, or failure of oral vitamin B12 supplementation