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[3] [4] It is given by injection into a muscle or vein, [2] by pill or sublingually. Side effects are generally few. [2] They may include diarrhea, feeling sick, hot flushes, itchiness, low blood potassium, allergic reactions, and high blood pressure. [2] Normal doses are considered safe in pregnancy. [5]
Animals, including humans, can convert cyanocobalamin to any one of the active vitamin B 12 compounds. [21] Cyanocobalamin is one of the most widely manufactured vitamers in the vitamin B 12 family (the family of chemicals that function as B 12 when put into the body), because cyanocobalamin is the most air-stable of the B 12 forms. [22]
Folinic acid, also known as leucovorin, is a medication used to decrease the toxic effects of methotrexate and pyrimethamine. [2] [3] It is also used in combination with 5-fluorouracil to treat colorectal cancer and pancreatic cancer, may be used to treat folate deficiency that results in anemia, and methanol poisoning.
Folate, also known as vitamin B 9 and folacin, [6] is one of the B vitamins. [3] Manufactured folic acid, which is converted into folate by the body, is used as a dietary supplement and in food fortification as it is more stable during processing and storage. [7]
They are given by injection. [2] Common side effects may include joint pain, rash, vomiting, and headache. [4] Serious side effects may include heart attacks, stroke, increased cancer growth, or pure red cell aplasia. [2] It is unclear if use is safe during pregnancy. [5] [6] They work similar to naturally occurring erythropoietin. [1]
A precursor of coenzymes called FAD and FMN, which are needed for flavoprotein enzyme reactions, including activation of other vitamins Vitamin B 3: Niacin (nicotinic acid) A precursor of coenzymes called NAD and NADP, which are needed in many metabolic processes. Niacinamide: Nicotinamide riboside: Vitamin B 5: Pantothenic acid
Both high-folate diets and supplemental folic acid may help reduce the toxic side-effects of low-dose methotrexate without decreasing its effectiveness. [ 8 ] [ 9 ] Anyone taking low-dose methotrexate for the health problems listed above should consult with a physician about the need for a folic acid supplement.
One study in 184 premature infants, reported that individuals given monthly vitamin B 12 injections (100 μg) or taking supplements of vitamin B 12 and folic acid (100 μg/day), had higher haemoglobin concentrations after 10–12 weeks, compared to those only taking folic acid or those taking no vitamin B 12 injections. [87]