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Hypersensitivity Reactions: Contraindicated in patients with a known allergy to amide-type anesthetics
Animal foods particularly high in vitamin B12 include bluefin tuna, Pacific oysters, salmon, Atlantic herring, mackerel, sardines, trout, and tuna
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Concurrent nutritional deficienciesparticularly folate or iron deficiencycan impair the response to B12 treatment, as these nutrients work together in red blood cell production
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