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Individuals with certain health conditions, such as Lebers disease (a rare inherited eye disease), should avoid B12 supplements as it can worsen the condition

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You should not take vitamin A supplements with fish liver oil and liver or liver products such as pt, which contain high amounts of vitamin A

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If you have a Vitamin B12 deficiency and pernicious anaemia which disrupts your ability to absorb B12 from your food, regular intramuscular injections of Vitamin B12 will bypass the need for gut absorption and deliver the vitamin directly into your bloodstream

Report any unusual symptoms to your provider.