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As it does that, it produces other metabolites, including 4PY

In the United States, injectable vitamin B12 and most combination vitamin B complex injections are regulated and generally require a valid prescription from a licensed healthcare professional

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Overall, vitamin B12 deficiency is treatable and can lead to serious neurological sequelae if left untreated, so it is important to consider vitamin B12 deficiency as a potential cause in patients with unexplained epilepsy, especially when accompanied by macrocytic anemia [85]

Patients have generally well-tolerated with this medication, with few serious side effects reported