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This medication comes with important safety warnings and guidelines. It is crucial to understand the potential risks and precautions associated with its use. Please consult your healthcare provider if you have any questions or concerns.

• Iron Overdose: Prenatal vitamins with DHA may contain iron, which is also found in many over-the-counter products. Excessive iron intake can cause serious side effects such as nausea, vomiting, diarrhea, and intestinal damage. Inform your healthcare provider or pharmacist about all the medications and supplements you are currently taking to prevent iron overdose.

• Anemia Masking: These prenatal vitamins also contain folic acid, which can sometimes obscure the symptoms of pernicious anemia—a condition caused by low vitamin B12 levels. If you have a history of low vitamin B12, make sure to notify your healthcare provider.

• Increased Bleeding Risk: Omega-3 fatty acids in prenatal vitamins with DHA could increase bleeding risks. If you are on blood thinners like aspirin, clopidogrel (Plavix), or warfarin (Coumadin), or have a history of bleeding disorders, your healthcare provider should be informed. They may suggest more frequent monitoring. Seek medical attention if you experience prolonged bleeding or notice dark, tarry stools.

• Fish Allergy Concerns: As these vitamins contain omega-3 fatty acids derived from fish oils, there is a possibility of an allergic reaction for individuals with fish or shellfish allergies. Discuss any known allergies with your healthcare provider. If symptoms such as rash, difficulty breathing, or facial swelling occur, seek immediate medical assistance.

Contraindications: Avoid using this medication if you have the following conditions, as it can pose serious health risks:

• Wilson's disease
• Hemochromatosis

Always consult with your healthcare provider before taking this medication if any of the above conditions apply to you.