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4 Second-generation anti-histamines such as loratadine are less sedating and unlikely to harm the breastfed infant because of low absorption, but they may decrease milk supply

Added compounds can influence the overall stability profile of the formulation

L., Toda, H

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the MHRA advises checking vitamin B12 levels if deficiency is suspected and considering periodic monitoring in those with risk factors [6] Chronic alcohol consumption can damage the gastric mucosa and impair absorption Nitrous oxide exposure (including recreational use) can inactivate vitamin B12 in the body, causing functional deficiency and neurological symptoms If you experience symptoms such as unexplained fatigue, pale skin, shortness of breath, neurological symptoms (tingling, numbness, balance problems), mood changes, or cognitive difficulties, contact your GP promptly

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