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When combined with careful attention to Vitamin B12 status, patients can experience enhanced benefits while minimizing potential risks
Who is at risk for Vitamin B12 deficiency
These include serious infection, uremia or renal failure, drugs with bone marrow suppression properties (e.g., chloramphenicol), or concurrent undiagnosed folic acid or iron deficiency anemia
Every time you insert a needle through the vial stopper to draw a dose, you introduce a potential pathway for bacteria
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