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Deficiency symptoms may improve within a few weeks of treatment

Following these guidelines ensures you preserve the medication's potency until the expiration date printed on the vial

Check with your healthcare provider if any of the following occur: Bluish-colored lips, fingernails, or palms Blurred or double vision Chest pain or discomfort Cold, clammy, pale skin Confusion Continuing ringing or buzzing, or other unexplained noise in the ears Cough Dark urine Difficulty breathing or swallowing Dizziness/lightheadedness Drowsiness Fast heartbeat Fever Headache Hearing loss Hives, itching, skin rash Irregular heartbeat or breathing Puffiness/swelling of the eyelids/eyes, face, lips, or tongue Sore throat Seizures Sweating Tremor or twitching Unusual bleeding or bruising Unusual tiredness or weakness Storage Store at controlled room temperature

Epilepsy in biotinidase deficiency after biotin treatment

PMCID: PMC8228232

B12 absorption will be blocked by smoking and excessive alcohol consumption