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This nutrient flexibility is what separates IV infusions from standalone B12 shots, giving providers the ability to tailor each session to individual health goals
Concomitant use of metformin and proton pump inhibitors and vitamin B12 deficiency
A clinical pharmacist cannot recommend a specific doctor
The main consideration with the pen and the thigh is ensuring you are placing it on the correct zone (front or outer, middle third) and not pressing too hard
Some patients feel as though they want more frequent injections, and occasionally we test levels to see if they are receiving adequate replacement, but Im not sure how strong the evidence is to support this. GPs should consider periodic vitamin B12 testing of higher-risk patients who take metformin, even if they dont display symptoms of deficiency, the UK medicines regulator said earlier this year
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