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Avoid high-dose vitamin supplements without medical guidance, especially Vitamin B6, which can cause nerve damage in excess

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Be sure to tell your doctor about all medications, supplements, and vitamins you take some can affect blood counts

[15] Serious but infrequent events-such as angioedema, bronchospasm, hypotension, or urticaria-reflect IgE-mediated hypersensitivity and may require desensitization or substitution with hydroxocobalamin