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[13] Chloramphenicol has been shown to blunt reticulocyte response to cyanocobalamin, while ethanol, colchicine, and nitrous oxide interfere with cobalamin metabolism or utilization, each warranting clinician awareness when evaluating suboptimal treatment outcomes

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A lack of vitamin B12 can lead to health problems and severe symptoms if its not properly managed

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But the timing of these results can vary depending on factors like how low your B12 levels were initially and how well your body absorbs the vitamin