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This prevents contamination and keeps your dosing syringe sterile

Only levetiracetam and benzodiazepines were without any association with folate or vitamin B 12 parameters. Linnebank and colleagues analyzed routine laboratory results from 2,900 patients with epilepsy (2,730 treated with one or more of a wide range of AEDs, including valproate, gabapentin and phenytoin, and 170 not treated with AEDs) at the University Hospital Bonn in Germany, and compared them with 200 healthy individuals as controls

19 Early studies: There were studies in the 1950s and the1960s that showed that oral vitamin B 12 could be absorbed by patients with pernicious anemia and could lead to resolution of the anemia

For higher doses or when absorption is poor, they can be given through a vein