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Side Effects, Warnings, and Monitoring Most people tolerate cyanocobalamin injection, but side effects can occur

Minerals should be separated from certain medications: Take iron, calcium, or magnesium at least 4 hours apart from levothyroxine Separate these minerals from tetracycline or quinolone antibiotics by at least 2 hours Take fiber supplements at least 2 hours apart from oral medications Protein supplements can be consumed at any time but are particularly useful between meals or as meal replacements when appetite is poor

Persistent numbness or weakness after an injection should always be reviewed by a doctor

However, the increase in molar ratio is entirely explained by the fact that IGF-I and IGFBP-3 increase with the same number of moles per liter, but with a larger relative increase in IGF-I than IGFBP-3 and with IGF-II molar concentrations being unchanged (112)