 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST]  may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.The precautions of Vitrum Senior Oral: Before taking this medication, tell your doctor or pharmacist if you are allergic to it; or to any of its ingredients such as folic acid; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using this medication, tell your doctor or pharmacist your medical history, especially of: low blood count (such as pernicious anemia, megaloblastic anemia, vitamin B-12 deficiency), high calcium levels, kidney disease, liver disease. This medication is not recommended for use in children under 12 because of increased risk of some vitamins/minerals building up to harmful levels in the body. During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor. This drug passes into breast milk. Consult your doctor before breast-feeding.The interactions of </s>