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Symptoms following acute NSAID overdose are usually limited to lethargy, drowsiness, nausea, vomiting and epigastric pain, gastrointestinal bleeding can occur but very rarely, hypertension, acute renal failure, respiratory depression and coma

Pregnancy Cyanocobalamin is a medication of the FDA pregnancy category C

Pernicious Anemia Pernicious anemia, an autoimmune disease that destroys stomach cells, reduces the bodys ability to produce intrinsic factor

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Vegetarians who arent paying attention to the B12 in their food choices will have downward-drifting B12 levels, and virtually all vegans not taking vitamin B12 supplements ultimately develop deficiencies