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[2] Other conditions giving rise to malabsorption include surgical removal of the stomach, chronic inflammation of the pancreas, intestinal parasites, certain medications such as long-term use of proton pump inhibitors, H2-receptor blockers, and metformin, and some genetic disorders

Methylcobalamin is contraindicated in patients with methylcobalamin hypersensitivity or hypersensitivity to any of the medication components

an unusual or allergic reaction to methylcobalamin, cobalt, other medicines, foods, dyes, or preservatives

During pregnancy, adequate B12 is especially important because it supports oxygen delivery through healthy red blood cells and contributes to proper neurological development