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An individual should inform their doctor about the medicines they are taking as cyanocobalamin also interacts with certain prescription and OTC medications such as amoxicillin, erythromycin, methotrexate, and pyrimethamine

In particular, high energy visible light (HEV) or blue light (as it is more commonly known) is increasingly believed to be damaging to our skin and eyes in ways that were previously only associated with the suns UVA and UVB rays

Other parts might have virtually no preservative at all, rendering them no better than sterile water and susceptible to bacterial growth