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People with Certain Medications Long-term use of certain medications, like proton pump inhibitors, H2 receptor antagonists, or metformin, can interfere with B12 absorption
A B12 deficiency can cause a surprisingly wide range of bizarre symptoms beyond just feeling tired
Their effects and safety profiles can also vary
Educate with neutral sources : Provide patients with plain-language resources on choline, carnitine, and B12
After first puncture, store under refrigerated conditions (28 C) and follow internal SOPs or product labeling for maximum hold time
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