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Contraindications, Drug Interactions, and Monitoring Important precautions include: Avoiding use in active, untreated malignancies due to theoretical tumor-promotion concerns Using caution with immunosuppressants Monitoring blood pressure and liver enzymes if treatment exceeds six weeks Consulting a healthcare professional if you have bleeding disorders or take anticoagulants Bodybuilders who use multiple compounds should be especially careful because side effects and interactions may be harder to identify

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Gastrointestinal surgery can also affect B12 absorption

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B12 plays an important role for the body, it is crucial for the formation of red blood cells, energy production, metabolism and for maintaining a healthy nervous system