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Liver : Use cautiously if you have liver disorders

They may result from: 1) an inhibition of the homocysteine remethylation pathway that is a consequence of folate or vitamin B 12 deficiencies, or the presence of the thermolabile MTHFR mutation or a functional deficiency in methionine synthase

Although many of the symptoms improve with treatment, some problems caused by the condition can be irreversible if left untreated

Slower or stalled weight loss

Rx only PACKAGE LABEL - PRINCIPAL DISPLAY - Cyanocobalamin 1 mL Multiple Dose Vial Tray Label NDC 63323-044-01 4401 CYANOCOBALAMIN INJECTION, USP 1,000 mcg/mL For IM or SC Use 25 x 1 mL Rx only Multiple Dose Vials