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For those with chronic conditions like IBD or EPI, ongoing management of the underlying disease is necessary, and periodic B12 monitoring may be recommended to ensure levels remain adequate

The pharmacological opposition makes the combination less predictable

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These signs and symptoms may include: Shortness of breath Nausea Vomiting Severe rash Swelling of the face or throat Low blood pressure New or worsened cough Blurred vision Rapid heartbeat Dizziness or weakness Severe headache You should report any medications you are taking and other medical conditions you may have to your healthcare provider