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Treatment may need to be postponed, modified or avoided if you: Have a known allergy to Vitamin B12, cobalt or another ingredient in the medication Have previously experienced a serious reaction to a Vitamin B12 injection Have an active infection or significant inflammation at the proposed injection site Have certain blood, kidney or hereditary medical conditions Are taking medications that may interact with your treatment Are currently being investigated for unexplained neurological or hematological symptoms Have another medical concern requiring physician assessment Pregnancy or breastfeeding does not automatically prevent medically necessary Vitamin B12 treatment, but treatment should only proceed following an appropriate assessment by a qualified healthcare provider