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However, if its a skin complex that youve been taking, that contains other herbs, vitamins, minerals, probiotics and other fillers or additives in, we dont really know if its the B12, biotin or something else

Other frequently associated drug classes include proton pump inhibitors (omeprazole, pantoprazole, lansoprazole), antifungals (terbinafine), oncologic agents (capecitabine, paclitaxel, docetaxel, tamoxifen, anastrozole, uracil-tegafur, leuprolide), tumor necrosis factor (TNF-) inhibitors, immune checkpoint inhibitors, and various others including leflunomide, lamotrigine, bupropion, ranitidine, and acebutolol

Vaessen N, Heutink P, Janssen JA, Witteman JCM, Testers L, Hofman A, Lamberts SWJ, Oostra BA, Pols HAP, Van Duijn CM

Some less common side effects are bumps, stiffness, discoloration, and burning