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Do not take the following medications within 18 hours of injecting (before or after): Sildenafil (Viagra) - 20 mg to 100 mg Vardenafil (Levitra) - 10 mg to 20 mg Avanafil (Stendra) - 50 mg to 200 mg If you take tadalafil (Cialis ) 10 mg or 20 mg, do not inject within 72 hours (3 days) of taking the medication

TIPS TO REDUCE SIDE EFFECTS BOOK NOW Start with a Low Dose: Begin with a minimal dose to gauge your body's reaction

Doctors usually treat pernicious anemia with vitamin B12 shots, although very high oral doses of vitamin B12 might also be effective

Those prescriptions could come from a telehealth doctor without an in-person physical exam