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About this article Cite this article Woods, D., Newhoff, D., Tucker, N

People may be at an increased risk of B12 deficiency if they: Consume a vegans or strict vegetarian diet Have eating disorders such as anorexia or bulimia Take antacids or diabetes related drugs that may interfere with B12 absorption Have a history of alcoholism Have a family history of pernicious anaemia Are diagnosed with anaemia Have Crohns disease, irritable bowel or any disease causing malabsorption of nutrients Have an autoimmune disease, such as type 1 diabetes, SLE, Addisons disease Are women with a history of infertility or multiple miscarriages Each ml contains 1000mcg of hydroxocobalamin Injectable water Suitable for vegans and vegetarians

While B vitamins are water-soluble and generally very safe, extremely high doses of certain vitamins (like B6, as mentioned earlier) can have side effects

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[84] [87] Tamoxifen is antigonadotropic in postmenopausal women and partially suppresses levels of the gonadotropins, luteinizing hormone (LH) and follicle-stimulating hormone (FSH) in such women

Journal of Metabolic Research , 45(3), 217225