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One moderate interaction to note is that oral B-complex vitamins, including riboflavin, can interfere with the absorption of tetracycline antibiotics if taken simultaneously
Hydroxocobalamin is given as an intramuscular injection into the upper arm
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Rarely, hypersensitivity reactions, including rash, itching, and anaphylaxis, may occur
It's just too aggressive and risks physically damaging the compound before it even has a chance to dissolve
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