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Dietary supplement

Blood Builder Liquid Iron Orchard Fruit Ingredients & Drug Interactions

by MegaFood

Blood Builder Liquid Iron Orchard Fruit label
See full label image
Liquid Category: Single Vitamin And Mineral
Most serious interaction: Moderate
Clinical methodology reviewed by · Updated Sep 9, 2026 · Label data from the NIH DSLD
What is this page for?

First and foremost: checking Blood Builder Liquid Iron Orchard Fruit against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.

Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy

The interaction bottom line Most serious interaction: Moderate

Blood Builder Liquid Iron Orchard Fruit is a dietary supplement by MegaFood with 2 active ingredients. Its ingredients are commonly taken for treating or preventing b12 deficiency, pernicious anemia, low energy and fatigue.Based on those ingredients, 100 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Iron, Vitamin B12. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

Jump to a section

Check Your Meds Against Blood Builder Liquid Iron Orchard Fruit by MegaFood

Ask about any prescription or over-the-counter medication and we check it for interactions with Blood Builder Liquid Iron Orchard Fruit by MegaFood — and tell you which ingredient is responsible.

Pharmacist-reviewed data Checks every ingredient Answer in seconds
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HelloPharmacist Scorecard of Blood Builder Liquid Iron Orchard Fruit by MegaFood

Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.

From our pharmacy team — supplement deep dive

Generated from HelloPharmacist’s pharmacist-curated databases and editorial rules · Last generated Jul 12, 2026

What’s inside

Full disclosure
Ingredient Transparency · database check
Full

Every active ingredient lists its own amount on the label.

Why this rating?
  • The label discloses an exact amount for 2 of its 2 active ingredients.
  • No proprietary blends here — you can verify the dose of every single component.

Blood Builder Liquid Iron contains two active ingredients: vitamin B12 and iron. Iron is the workhorse here — it's what builds red blood cells and carries oxygen through your body.

Vitamin B12 works alongside it, supporting healthy blood cell formation and nerve function. The product also includes inactive ingredients like fruit juice concentrates (apple, pear, tart cherry) and beetroot juice for flavor and color — there are no added synthetic dyes or unnecessary fillers.

Does it work?

Strong evidence
Evidence for Intended Use · database check
By FDA rules, dietary supplements can’t claim to treat, cure, or prevent disease — so labels speak in careful marketing language. We discern each product’s intended use from its name, label claims, and label statements, then grade the clinical evidence for that use. How these ratings are computed
Strong

Clinical evidence supports at least one of this product's ingredients for its stated purpose.

Why this rating?
  • The label markets this product for: support healthy energy and iron status.
  • We looked for evidence on: Fatigue, Iron deficiency anemia, Pregnancy-related iron deficiency, Restless legs syndrome (RLS), Vitamin B12 deficiency, Energy production — and 1 related terms.
  • The strongest evidence on file: Iron is rated "Effective" for Iron deficiency anemia (Natural Medicines).
  • Also on file: Iron is rated "Effective" for Pregnancy-related iron deficiency.
  • Also on file: Vitamin B12 is rated "Effective" for Vitamin B12 deficiency.

Iron is effective for treating iron deficiency anemia and anemia of chronic disease, and it's also effective for pregnancy-related iron deficiency. The evidence for heart failure is less clear — it's rated possibly effective based on the data we hold.

Vitamin B12 is effective for treating B12 deficiency itself and for a rare absorption disorder called Imerslund-Grasbeck disease. It's also rated possibly effective for canker sores and a type of nerve pain called postherpetic neuralgia.

The evidence, ingredient by ingredient Vitamin B12 Iron

How safe is it?

Well-documented data
Safety Information · database check
Well characterized

Adverse-effect, pregnancy, and general safety data are on file for most of these ingredients.

Why this rating?
  • We hold adverse-effect (side-effect) data for 2 of the 2 matched ingredients.
  • Pregnancy & breastfeeding safety ratings cover 2 of 2.
  • General safety write-ups exist for 2 of 2.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

Both ingredients are generally well tolerated at recommended doses. Iron is the one to watch for side effects — oral iron commonly causes stomach upset, nausea, constipation, or diarrhea.

Serious side effects from iron are rare but can include stomach ulcers. B12 is very safe; your body sheds excess B12 in the urine, so there's no upper limit concern.

For pregnancy, the facts note that iron is often recommended but your prenatal care provider should guide your dose. B12 is considered safe at recommended amounts during both pregnancy and breastfeeding.

Iron during breastfeeding is generally acceptable at appropriate doses, but check with your provider. One note: the facts flag a Likely Unsafe rating for iron in lactation, so discuss this with your doctor if you're nursing.

Side effects, ingredient by ingredient Vitamin B12 Iron

Meds to double-check

Moderate interaction found
Known Interaction Concern · database check
Moderate identified

The most serious documented interaction for these ingredients is Moderate. Check your medications for a personalized result.

Why this rating?
  • 2 of the 2 matched ingredients can interact with medications — Iron, Vitamin B12.
  • The most serious interaction on file is rated Moderate.
  • Some involve high-stakes drug classes: Parkinson's medications.
  • For scale: 100 individual medications appear in the full list. A big number alone doesn't make a product dangerous — what matters is whether YOUR medication is on it, so run yours through the interaction checker on this page.

Before taking this product, check with your pharmacist or doctor if you're on any of these: levodopa, quinolone antibiotics (like ciprofloxacin), bisphosphonates (osteoporosis medications), methyldopa (blood pressure), tetracycline antibiotics, levothyroxine (thyroid hormone), mycophenolate mofetil (immunosuppressant), penicillamine (Wilson's disease or arthritis), or metformin (diabetes). Iron needs 2 to 4 hours of spacing from most of these; the timing depends on the specific drug.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glanceFully disclosed formula with clinical evidence supporting its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.

This product is designed for anyone with iron deficiency anemia or pregnancy-related low iron who wants a liquid option. If you take any thyroid medication, diabetes pills, blood pressure drugs, antibiotics, or bone medications, you'll need to space them out from this supplement — talk to your pharmacist first.

The same goes for anyone on levodopa for Parkinson's disease or penicillamine.

Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI

Assessment coverage: 2 of 2 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jun 22, 2023.

This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed

At a glance

General information

Key facts about Blood Builder Liquid Iron Orchard Fruit, straight from the product label.

Brand MegaFood
Barcode (UPC) 051494103685
Net contents 15.8 FL OZ; 470 mL
Market status On market
Date entered into DSLD Jun 22, 2023
DSLD ID 287369
Product type Single Vitamin And Mineral
Supplement form Liquid
Dietary claims / uses Nutrient, All Other, Structure/Function
Intended target group(s) Vegetarian, Adult (18 - 50 Years), Gluten Free, Dairy Free
From the label
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.

Supplement Facts

The label details for Blood Builder Liquid Iron Orchard Fruit by MegaFood, sourced from the NIH Dietary Supplement Label Database.

Supplement Facts

Daily Value (DV) Target Group(s):
Adults and children 4 or more years of age
Minimum serving Sizes:
10 mL
Maximum serving Sizes:
10 mL
Servings per container
47
UPC/BARCODE
051494103685
IngredientAmount% DV
Calories30 Calorie(s)--
Total Carbohydrates7 Gram(s)3%
Vitamin B1210 mcg417%
Total Sugars1 Gram(s)--
Iron27 mg150%

Other ingredients: Glycerin, Water, Apple juice concentrate, Pear juice concentrate, Tart Cherry Juice Concentrate, Natural Flavors, Beetroot juice concentrate, Citrus Peel Extract

Tap any ingredient to jump to its full detail below.

Label statements
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Suggested/Recommended/Usage/Directions

Once Daily

Suggested Use: Shake well before use. Adults: take 2 teaspoons (10 mL) daily.

Once open, consume within two months.

Formulation

Formulated to Support healthy energy Be non-constipating & gentle on the stomach

MegaFood Blood Builder Liquid Iron Once Daily is formulated to support healthy energy levels, be non-constipating, and gentle on the stomach.

Vegetarian

NON GMO Project Verified nongmoproject.org Tested Gluten Free Dairy Free Soy Free Tested 125+ Pesticides & Herbicides Glyphosate Residue Free

Seals/Symbols

NON GMO Project Verified nongmoproject.org

Tested 125+ Pesticides & Herbicides Glyphosate Residue Free Certified B Corporation

Formula

Flavored with tart cherry, apple & pear juice concentrate with other natural flavors

FDA Disclaimer Statement

These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.

FDA Statement of Identity

Iron Supplement

Precautions

Warning: Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under six. Keep this product out of reach of children. In case of accidental overdose, call a doctor or poison control center immediately.

Storage

Store tightly sealed in a cool place and refrigerate after opening.

General Statements

We are a vitamin and supplement company working to help grow a healthier world. Since 1973, we've been dedicated to producing high-quality supplements. We pair key vitamins and minerals with real food ingredients to support your optimal wellness.

To learn more about our seals, please visit megafood.com/standards.

Is this label outdated? Report a formula or label change and our pharmacy team will review it.

See for yourself

Blood Builder Liquid Iron Orchard Fruit by MegaFood label

The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.

Blood Builder Liquid Iron Orchard Fruit label

Label images are published by the NIH Dietary Supplement Label Database for the version of this product on file. Always read your actual product label.

View the full label (PDF)
What’s inside

The Ingredients in Blood Builder Liquid Iron Orchard Fruit by MegaFood

These are the 2 active ingredients this product is made of. Select any to open its full monograph.

Serving size10 mL Dosage formLiquid Servings per container47 Amounts shown are per serving.

Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.

Vitamin B12

Interacts with
20 drugs
10 mcg per serving Form: Cyanocobalamin

Vitamin B12 (cobalamin) is an essential nutrient your body needs to make red blood cells, keep nerves healthy, and support DNA. Supplements are very h...

Vitamin B12 monograph & interactions

Iron

Interacts with
80 drugs
27 mg per serving Form: Iron Bisglycinate

Iron is an essential mineral your body needs to make hemoglobin and carry oxygen in the blood. Supplements are mainly useful for treating or preventin...

Iron monograph & interactions

Other (inactive) ingredients: Glycerin, Water, Apple juice concentrate, Pear juice concentrate, Tart Cherry Juice Concentrate, Natural Flavors, Beetroot juice concentrate, Citrus Peel Extract. These complete the product’s ingredient list but are not active constituents.

Interaction report

Blood Builder Liquid Iron Orchard Fruit by MegaFood Drug Interactions

Want to check YOUR meds against Blood Builder Liquid Iron Orchard Fruit?

Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.

 Go to the checker
100Drugs
79 Moderate 21 Minor

Ingredients driving the most interactions

Iron 80
Vitamin B12 20

Individual Drug Interactions

The ingredients in Blood Builder Liquid Iron Orchard Fruit interact with 100 drugs. Click any drug to see the details.

2 of the 2 ingredients in Blood Builder Liquid Iron Orchard Fruit interact with drugs. Each result below shows which ingredient is responsible. Iron Vitamin B12

Each ingredient & the kinds of drugs it affects

For each ingredient in Blood Builder Liquid Iron Orchard Fruit with known interactions, here are the types of medications they can affect. Open any type for the detail — or search your exact drug in the checker above.

Iron13 drug types · 80 drugs

Bictegravir/Emtricitabine/Tenofovir Alafenamide (Biktarvy)

Iron might decrease levels of bictegravir/emtricitabine/tenofovir alafenamide by reducing its absorption when taken in a fasting state.
Advise patients that bictegravir/emtricitabine/tenofovir alafenamide and iron can be taken together if taken with food. However, if taken on an empty stomach, bictegravir/emtricitabine/tenofovir alafenamide should not be taken with, or 2 hours after, iron containing products.

Likelihood Probable Evidence D
Bisphosphonates

Iron reduces the absorption of bisphosphonates.
Advise patients that doses of bisphosphonates should be separated by at least two hours from doses of all other medications, including supplements such as iron. Divalent cations, including iron, can decrease absorption of bisphosphonates by forming insoluble complexes in the gastrointestinal tract.

Likelihood Probable Evidence D
Denosumab (Prolia, Others)

Administration of intravenous iron within one month of denosumab administration might increase the risk of severe hypophosphatemia and hypocalcemia.
A case of severe hypocalcemia (albumin corrected calcium 6.88 mg/dL, ionized calcium 3.68 mg/dL) and hypophosphatemia (<0.5 mg/dL) with respiratory acidosis, QT interval prolongation, and nonsustained ventricular tachycardia was reported in a 76-year-old male who had received an iron polymaltose infusion within 2 weeks of a subcutaneous injection of denosumab. Serum parathyroid hormone was also elevated (348 pg/mL). Subsequent iron infusions with iron polymaltose and ferric carboxymaltose were followed by transient hypophosphatemia, but without hypocalcemia. Additionally, a literature review describes 6 additional cases of hypophosphatemia and hypocalcemia in patients 52-92 years of age who had been administered intravenous iron as either ferric carboxymaltose or iron polymaltose and subcutaneous denosumab within 1-4 weeks of each other.

Likelihood Possible Evidence D
Dolutegravir (Tivicay)

Iron might decrease dolutegravir levels by reducing its absorption.
Advise patients to take dolutegravir at least 2 hours before or 6 hours after taking iron. Pharmacokinetic research shows that iron can decrease the absorption of dolutegravir from the gastrointestinal tract through chelation. When taken under fasting conditions, a single dose of ferrous fumarate 324 mg orally along with dolutegravir 50 mg reduces overall exposure to dolutegravir by 54%.

Likelihood Probable Evidence B
Integrase Inhibitors

Theoretically, taking iron along with integrase inhibitors might decrease the levels and clinical effects of these drugs.
Iron is a divalent cation. There is concern that iron may decrease the absorption of integrase inhibitors from the gastrointestinal tract through chelation. One pharmacokinetic study shows that iron can decrease blood levels of the specific integrase inhibitor dolutegravir through chelation. Also, other pharmacokinetic research shows that other divalent cations such as calcium can decrease the absorption and levels of some integrase inhibitors through chelation.

Likelihood Possible Evidence D
Levodopa

Iron might decrease levodopa levels by reducing its absorption.
Advise patients to separate doses of levodopa and iron as much as possible. There is some evidence in healthy people that iron forms chelates with levodopa, reducing the amount of levodopa absorbed by around 50%. The clinical significance of this hasn't been determined.

Likelihood Probable Evidence B
Levothyroxine (Synthroid, Others)

Iron might decrease levothyroxine levels by reducing its absorption.
Advise patients to separate levothyroxine and iron doses by at least 2 hours. Iron can decrease the absorption and efficacy of levothyroxine by forming insoluble complexes in the gastrointestinal tract.

Likelihood Probable Evidence B
Methyldopa (Aldomet)

Iron might decrease methyldopa levels by reducing its absorption.
Advise patients to separate methyldopa and iron doses by at least 2 hours. Iron can decrease the absorption of methyldopa from the gastrointestinal tract through chelation, resulting in increases in blood pressure.

Likelihood Probable Evidence B
Mycophenolate Mofetil (Cellcept)

Theoretically, iron might decrease mycophenolate mofetil levels by reducing its absorption.
Advise patients to take iron 4-6 hours before, or 2 hours after, mycophenolate mofetil. It has been suggested that a decrease of absorption is possible, probably by forming nonabsorbable chelates. However, mycophenolate pharmacokinetics are not affected by iron supplementation in available clinical research.

Likelihood Unlikely Evidence D
Penicillamine (Cuprimine, Depen)

Iron might decrease penicillamine levels by reducing its absorption.
Advise patients to separate penicillamine and iron doses by at least 2 hours. Oral iron supplements can reduce absorption of penicillamine by 30% to 70%, probably due to chelate formation. In people with Wilson's disease, this interaction has led to reduced efficacy of penicillamine.

Likelihood Probable Evidence D
Quinolone Antibiotics

Iron might decrease levels of quinolone antibiotics by reducing their absorption.
Advise patients to separate quinolone antibiotics and iron doses by at least 2 hours. Iron decreases the absorption of quinolones due to formation of insoluble complexes in the gastrointestinal tract.

Likelihood Probable Evidence D
Tetracycline Antibiotics

Iron might decrease levels of tetracycline antibiotics by reducing their absorption.
Advise patients to take iron at least 2 hours before or 4 hours after tetracycline antibiotics. Concomitant use can decrease absorption of tetracycline antibiotics from the gastrointestinal tract by 50% to 90%.

Likelihood Probable Evidence D
Chloramphenicol

Theoretically, taking chloramphenicol with iron might reduce the response to iron therapy in iron deficiency anemia.
Chloramphenicol interferes with erythrocyte maturation. However, since chloramphenicol isn't usually taken for prolonged periods, this isn't likely to be clinically significant.

Likelihood Unlikely Evidence D
Iron full monograph & interactions

Vitamin B121 drug type · 20 drugs

Metformin (Glucophage)

Metformin, a common medication used to manage type 2 diabetes, has been associated with lower vitamin B12 levels in some individuals. Prolonged use of metformin can interfere with the absorption of B12 in the digestive system, potentially leading to a deficiency in this essential vitamin.

Likelihood Possible Evidence A
Vitamin B12 full monograph & interactions
The maker

Brand information

Manufacturer and brand details for Blood Builder Liquid Iron Orchard Fruit, from the product label.

MegaFood

See all MegaFood products
Name
MegaFood
Street Address
PO Box 5244
City
Manchester
State
NH
ZipCode
03108
Phone Number
800-848-2542
Web Address
megafood.com
Pharmacist Counseling Corner

Blood Builder Liquid Iron Orchard Fruit by MegaFood: Common Questions

Does Blood Builder Liquid Iron Orchard Fruit by MegaFood interact with any medications?
Yes. Based on its ingredients, Blood Builder Liquid Iron Orchard Fruit has a known interaction with 100 medications. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
Blood Builder Liquid Iron Orchard Fruit contains 2 active ingredients, and an interaction can come from any of them. We check every ingredient, combine the results into one list per medication, and show which ingredient and mechanism is responsible.
Where does this information come from?
The product label data comes from the NIH Dietary Supplement Label Database (DSLD); the interaction data is built on the Natural Medicines database and reviewed by HelloPharmacist pharmacists.
What is this product used for?
Blood Builder Liquid Iron is designed to treat iron deficiency anemia — when your body doesn't have enough iron to make healthy red blood cells. It's also used for pregnancy-related iron deficiency and anemia related to chronic disease. The liquid form makes it easier to take than tablets, especially if you have trouble swallowing pills.
What are the most common side effects of taking iron?
The most common side effects are stomach-related: abdominal pain, nausea, constipation, diarrhea, and general digestive irritation. These often happen because iron can be irritating to your gut. Taking it with food may help, though food can also reduce how much iron you absorb — your doctor or pharmacist can advise on the best timing for you.
Is it safe to take this product if I'm pregnant or breastfeeding?
Iron is often recommended during pregnancy, but your prenatal care provider should guide your dose based on your individual needs. During breastfeeding, iron at appropriate doses is generally acceptable, but the facts we hold flag a caution for lactation — check with your provider to make sure it's right for your situation. B12 is safe at recommended amounts in both pregnancy and breastfeeding.
Can I take this with my thyroid medication?
Iron reduces how well levothyroxine (Synthroid) is absorbed, which can make your thyroid medication less effective. You'll need to separate the doses by at least 2 hours — take one in the morning and one later in the day. Ask your pharmacist which should come first based on your routine.
Is B12 deficiency something this product can treat?
Yes, vitamin B12 is effective for treating B12 deficiency. This product gives you both iron and B12, so it addresses deficiencies of both nutrients if you have them. If you only have a B12 deficiency without iron deficiency, you'd want a B12-only product.
Does this product have any fillers or added ingredients I should know about?
The inactive ingredients are fruit juice concentrates (apple, pear, and tart cherry), glycerin, water, natural flavors, and citrus peel extract for flavor and color. There are no synthetic dyes, so you're getting a cleaner ingredient list than many other supplements.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Not sure if Blood Builder Liquid Iron Orchard Fruit is safe with your meds?

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Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.

Blood Builder Liquid Iron Orchard Fruit label
Go deeper

The Full Monographs Behind Blood Builder Liquid Iron Orchard Fruit’s Ingredients

Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.

Herb & supplement monograph

Vitamin B12

Interacts with 20 drugs

Vitamin B12 (cobalamin) is an essential nutrient your body needs to make red blood cells, keep nerves healthy, and support DNA. Supplements are very helpful for people who are deficient — su...

Read the full Vitamin B12 monograph → Herb & supplement monograph

Iron

Interacts with 80 drugs

Iron is an essential mineral your body needs to make hemoglobin and carry oxygen in the blood. Supplements are mainly useful for treating or preventing iron deficiency and iron-deficiency an...

Read the full Iron monograph →
Sources

Sources & How We Checked

Blood Builder Liquid Iron Orchard Fruit's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

The 102 references behind this product’s interaction data

Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.

Vitamin B12 30 references
  1. Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline (2000). Washington, DC: National Academy Press, 2000. Available at: http://b
  2. Hartman TJ, Woodson K, Stolzenberg-Solomon R, et al. Association of the B-vitamins pyridoxal 5'-phosphate (B6), B12, and folate with lung cancer risk in older men. Am J Epidemiol 2001;153:688-94.. DOI
  3. Jansen T, Romiti R, Kreuter A, Altmeyer P. Rosacea fulminans triggered by high-dose vitamins B6 and B12. J Eur Acad Dermatol Venereol 2001;15:484-5..
  4. Lange H, Suryapranata H, De Luca G, et al. Folate therapy and in-stent restenosis after coronary stenting. N Engl J Med 2004;350:2673-81. PubMed
  5. Collin, S. M., Metcalfe, C., Refsum, H., Lewis, S. J., Zuccolo, L., Smith, G. D., Chen, L., Harris, R., Davis, M., Marsden, G., Johnston, C., Lane, J. A., Ebbing, M., Bonaa, K. H., Nygard, O., Ueland, P. M., Grau, M. V., Baron, J. A., Donovan, J. L., Nea
  6. Geissbuhler, P., Mermillod, B., and Rapin, C. H. Elevated serum vitamin B12 levels associated with CRP as a predictive factor of mortality in palliative care cancer patients: a prospective study over five years. J.Pain Symptom.Manage. 2000;20(2):93-103. PubMed
  7. Salles, N., Herrmann, F., Sakbani, K., Rapin, C. H., and Sieber, C. High vitamin B12 level: a strong predictor of mortality in elderly inpatients. J Am Geriatr.Soc 2005;53(5):917-918.
  8. Looker, H. C., Fagot-Campagna, A., Gunter, E. W., Pfeiffer, C. M., Sievers, M. L., Bennett, P. H., Nelson, R. G., Hanson, R. L., and Knowler, W. C. Homocysteine and vitamin B(12) concentrations and mortality rates in type 2 diabetes. Diabetes Metab Res R
  9. Uhl, W., Nolting, A., Golor, G., Rost, K. L., and Kovar, A. Safety of hydroxocobalamin in healthy volunteers in a randomized, placebo-controlled study. Clin Toxicol (Phila) 2006;44 Suppl 1:17-28. PubMed
  10. Borron, S. W., Baud, F. J., Barriot, P., Imbert, M., and Bismuth, C. Prospective study of hydroxocobalamin for acute cyanide poisoning in smoke inhalation. Ann Emerg.Med 2007;49(6):794-801, 801. PubMed
  11. Borron, S. W., Baud, F. J., Megarbane, B., and Bismuth, C. Hydroxocobalamin for severe acute cyanide poisoning by ingestion or inhalation. Am J Emerg.Med 2007;25(5):551-558. PubMed
  12. Lewis, J. G. Gout, Steatorrhoea, and Megaloblastic Anaemia. Ann Rheum.Dis 1962;21(3):284-286. PubMed
  13. Tal, S., Shavit, Y., Stern, F., and Malnick, S. Association between vitamin B12 levels and mortality in hospitalized older adults. J Am Geriatr.Soc 2010;58(3):523-526. PubMed
  14. Baztan, J. J., Gavidia, J. J., Gomez-Pavon, J., Esteve, A., and Ruiperez, I. High vitamin B12 levels and in-hospital mortality. J Am Geriatr.Soc 2010;58(11):2237-2238. PubMed
  15. Omboni, E., Checchini, M., and Longoni, F. [Hypopotassemia and megaloblastic anemia. Presentation of a case]. Minerva Med 8-31-1987;78(16):1255-1257.
  16. Aalfs As, Scholvinck LH, Horvath B. Acneiform eruption in a 5-year old due to vitamin B12 supplementation. Eur J Dermatol 2013;23(5):726-7. PubMed
  17. Balta I, Ozuguz P. Vitamin B12-induced acneiform eruption. Cutan Ocul Toxicol 2014;33(2):94-5. PubMed
  18. Carman KB, Belgemen T, Yis U. Involuntary movements misdiagnosed as seizure during vitamin B12 treatment. Pediatr Emerg Care 2013;29(11):1223-4. PubMed
  19. Djuric V, Bogic M, Popadic AP, et al. Anaphylactic reaction to hydroxycobalamin with tolerance to cyanocobalamin. Ann Allergy Asthma Immunol 2012;108(3):207-8. PubMed
  20. Kartel O, Gulec M, Demirel F, et al. Vitamin B12 allergy and successful desensitization with cyanocobalamin: A case report. Allergol Immunopath (Madr) 2012;40(5):324-5.
  21. Patiroglu T, Unal E, Yildirim S. Infantile tremor syndrome associated with cobalamin therapy: A case report. Clin Neurol Neurosurg 2013;115(9):1903-5. PubMed
  22. Schulte S, Barkema LW, Kardaun SH. Long-lasting atypical acneiform eruption with prominent comedones induced by hydroxocobalamin (vitamin B12). J Dtsch Dermatol Ges 2014;12(6):502-3.
  23. Zanus C, Alberini E, Costa P, et al. Involuntary movements after correction of vitamin B12 deficiency: A video-case report. Epileptic Disord 2012;14(2):174-80. PubMed
  24. Fanidi A, Carreras-Torres R, Larose TL, et al. Is high vitamin B12 status a cause of lung cancer? Int J Cancer. 2019 Sep 15;145(6):1499-1503. PubMed
  25. Fujita Y, Mizukami T, Maya Y, et al. Vitamin B12 allergy manifesting as lymphomatoid contact dermatitis. Eur J Dermatol. 2020;30(3):304-305. PubMed
  26. Dépret F, Hoffmann C, Daoud L, et al. Association between hydroxocobalamin administration and acute kidney injury after smoke inhalation: a multicenter retrospective study. Crit Care. 2019;23(1):421. PubMed
  27. Khairan P, Sobue T, Eshak ES, et al. Association of dietary intakes of vitamin B12, vitamin B6, folate, and methionine with the risk of esophageal cancer: the Japan Public Health Center-based (JPHC) prospective study. BMC Cancer 2021;21(1):982. PubMed
  28. Evans J, Pandya A, Ding Y, Qunibi WY. Hydroxocobalamin-Induced Oxalate Nephropathy in a Patient With Smoke Inhalation. Kidney Int Rep 2021;6(8):2228-2231. PubMed
  29. Lacombe V, Chabrun F, Lacout C, et al. Persistent elevation of plasma vitamin B12 is strongly associated with solid cancer. Sci Rep 2021;11(1):13361. PubMed
  30. Pegalajar-García MD, Cebolla-Verdugo M, Prados-Carmona Á, Llamas-Segura C, Navarro-Triviño FJ. Systemic allergic dermatitis to cobalt present in cyanocobalamin supplementation. Contact Dermatitis 2023;89(3):203-205. PubMed

See these in context on the Vitamin B12 monograph →

Iron 72 references
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See these in context on the Iron monograph →

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DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

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