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Several drugs, including para-aminosalicylic acid, have been reported to reduce the absorption of methylcobalamin, vitamin B12

In heparin-induced thrombocytopenia, an immune reaction to heparin causes breakdown of platelets, releasing their contents and triggering widespread platelet activation, initiation of coagulation pathways, and a dramatic increase in risk of thrombosis

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The effects of B12 injections typically last between 1 and 4 weeks