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Elevated IGF-1 Levels Inform patients that treatment with EGRIFTA WR increases IGF-1 levels and that they will need periodic monitoring of their IGF-1 levels [see WARNINGS AND PRECAUTIONS ]

This is one reason why alcoholism causes B12 deficiency

For some people, taking supplements is necessary, but to minimize vitamin B12 supplements side effects, stick to the recommended dosage and use as directed.

"Care should be taken to avoid overdosing, particularly during early pregnancy," Ms Krilich said

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