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Luckily, we no longer have to rely on poorly absorbed oral supplements to meet our vitamin needs

[7] Hydroxocobalamin is the preferred formulation in the UK and carries a lower risk profile, though it may cause a harmless reddish discolouration of urine

Doctors should check symptoms, blood work, and neurological status often

[8] Similarly, patients with gout or hyperuricemia should avoid high niacin intake, as niacin (even in nicotinamide form) can raise uric acid levels and potentially trigger gout flares

Doses are adjusted based on lab results, how the patient responds, and individual assessments

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