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Consult your doctor if you take proton pump inhibitors (PPI's) as it may affect how your body absorbs sources of vitamin B12 and reduce your vitamin B12 levels
There are some very rare side effects listed in medical literature (mostly when large doses are given): for example, one out of many thousands of patients might develop a disturbance in liver enzymes or a tingling in the fingers or toes
It reacts in patients with rare hereditary galactose or fructose intolerance
That is the default you will meet at your GP surgery
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