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Gently swirl or roll the vial to help the drug dissolve do not violently shake unless instructed, as some drugs can be denatured by shaking

Doctors check what causes low B12 before starting treatment

Tell laboratory personnel and all your doctors if you take any of the following: anti-infective drugs (e.g., amoxicillin, erythromycin), methotrexate, pyrimethamine

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Adverse Reactions/Side Effects Generalized: Anaphylactic shock and death have been reported with administration of parenteral vitamin B 12(see WARNINGS)

Note: Compounded medications are prepared based on specific patient needs or in the event of drug shortages and are not reviewed or approved by the FDA for safety or effectiveness