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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

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Blisters indicate a second-degree burn requiring more careful treatment

A: Effects vary by individual, but maintenance doses typically maintain stable B12 levels