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Patients should be counseled that neon yellow urine is expected

however, no maternal or fetal complications have been associated with doses that are recommended during pregnancy, and appropriate treatment should not be withheld from pregnant women with vitamin B12 responsive anemias

Although the 100 mg of niacinamide in this injection is relatively modest compared to gram doses used to treat cholesterol, diabetic patients should still have their blood sugar observed, as even moderate niacinamide supplementation could necessitate small adjustments in diabetes medications

Even if the extra vitamins themselves arent having a physiological impact, the ritual of getting a shot from a trained professional can help quell anxiety or provide a better sense of control