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If you see upward trends within the first four to six weeks of oral dosing, the oral formulation may not be delivering adequate blood levels for maintenance

Vitamin B12 injections can quickly boost B12 levels in individuals and restore balance in cases of B12 deficiencies

OHIO STATE BOARD OF PHARMACY: WHOLESALE DISTRIBUTOR LICENSE #01-0012050 TERMINAL DISTRIBUTOR LICENSE #02-1298300 Pharmacy is licensed as Matthews Veterinary Pharmacy

Because of the severity of the interaction, in published drug databases (i.e UpToDate LexiDrug, Clinical Pharmacology, etc.), the interaction is listed as a Avoid Combination (X) and/or Level 1 (Contraindicated). For this reason, many patients and practitioners avoid the use of methylene blue 9-26