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Certain genetic variants may affect the proteins involved in vitamin B12 absorption, cellular uptake and intracellular metabolism

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Contraindications of Methylcobalamin Injection Medical Conditions That Prohibit Use Some health conditions may not be suitable for receiving methylcobalamin injections due to the risks involved and potential complications that could arise in individuals with kidney problems or a specific genetic disorder known as Leber's hereditary optic neuropathy

Sublingual tablets : Absorbed under the tongue for better bioavailability [*]

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This means they could affect the absorption of vitamin B12, which can potentially lead to vitamin B12 deficiency or worsen it in someone who already has it