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These conditions include cardiovascular disease (such as coronary artery disease, stroke, life-threatening arrhythmias, congestive heart failure, or untreated hypertension), advanced arteriosclerosis, hyperthyroidism, glaucoma, psychiatric agitation or psychosis, recent or concurrent MAOI therapy (within 14 days), history of drug abuse, pregnancy, breastfeeding, pediatric patients under 16, and concurrent use of other weight-loss medications

L., Buterbaugh, K., Kadow, T

You may feel less sluggish after meals and notice subtle improvements in body composition

Intravenous injection of methylcobalamin greatly reduces the symptoms of pain in trigeminal neuralgia whereas reduction of paroxysmal pain, continuous spontaneous pain, and allodynia has also been observed with injectable methyl cobalamin