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Several drugs, including para-aminosalicylic acid, have been reported to reduce the absorption of methylcobalamin, vitamin B12

However, for individuals who require high doses or have difficulty absorbing the vitamin, injections may be a more practical option

Leukocytosis, thrombocytosis, eosinophilia, anemia, macrocytosis, or an abnormal blood smear alongside persistent elevation should prompt hematology review

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While not a magic bullet, these shots can support weight management efforts when combined with a balanced diet and regular exercise