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Lipotropic injections are generally not recommended during pregnancy or breastfeeding, for people with a known allergy to any component of the formulation (including B12/cobalt), for those with certain kidney or liver conditions, or for those with certain medical conditions

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If B12 deficiency is confirmed, your GP will discuss whether oral supplementation or intramuscular injections are most appropriate and arrange follow-up to monitor treatment response

Lower-dose thalidomide therapy effectively treats cutaneous lupus erythematosus but is limited by neuropathic toxicity