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Additional side effects may include: Mild diarrhea or nausea shortly after injection

If your provider hasnt checked your folate level alongside B12, ask

Antioxidants and statins (3-hydroxy-3-methylglutary-coenzyme A reductase inhibitors) A three-year randomized controlled trial in 160 patients with coronary heart disease (CHD) and low high-density-lipoprotein (HDL) levels found that a combination of simvastatin (Zocor) and niacin increased the HDL2 subfraction level (considered the most cardioprotective), inhibited the progression of coronary artery stenosis (narrowing), and decreased the frequency of cardiovascular events, such as myocardial infarction and stroke (130)

Mole changes, however, may persist and require ongoing monitoring

The only interaction of concern is pharmacokinetic: the delayed gastric emptying affecting oral hormone absorption