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Several drugs, including para-aminosalicylic acid, have been reported to reduce the absorption of methylcobalamin, vitamin B12

The survey also found that those who self-injected were more likely to report feeling unsafe in primary care and, at times, they felt that they were not treated with dignity and ..the main reasons given were to improve fatigue and TO REDUCE BRAIN FOG and pins and needles. Theres a clue there somewhere

Annals of Medicine and Surgery