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Concomitant administration of drugs may increase the risk of cardiac arrhythmia [see Drug Interactions (7.1)]

Vitamin B12 is a water-soluble vitamin, meaning excess amounts are generally excreted through urine rather than accumulating in the body to cause adverse gastrointestinal effects

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Lifehacks for Pernicious Anemia: Talk with your doctor, of course, about what to do about pernicious anemia