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Weakness Muscle spasms can sometimes cause temporary muscle weakness due to the intense pain and tightening of the affected muscles

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What Should You Avoid While Taking Neksium 40 Mg Injection (Esomeprazole): You should avoid taking alcohol You should avoid driving You should avoid taking Medicines without prescriptions When Not To Use Neksium 40 Mg Injection (Esomeprazole): You should not take Neksium 40 mg Injection if you: Have ever noticed any Allergy/Hypersensitivity Have liver problems Have kidney problems Have diarrhea Have Immune system disorder Have Bone fracture Have Vitamin B12 deficiency Are pregnant Have infections Are breastfeeding Tell Your Doctor If You: Have Allergy to the Injection Are taking Alcohol or Other Drugs Have Liver disease Have infections Dosage: Neksium 40 mg Injection contains an active ingredient, Esomeprazole, which is used in the treatment of Gastroesophageal reflux disease (Acid reflux) & Peptic ulcer disease

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Thats because utilization of vitamin B12 (especially from supplements) depends on levels of other metabolic cofactors and acids