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Your provider will conduct a thorough examination based on your reason for visiting, presenting symptoms and health history

Severe allergic reaction/anaphylaxis Symptoms may include: Difficulty breathing or swallowing Swelling of the face, lips, tongue, or throat Severe rash, itching, or hives Chest tightness or palpitations

Antacid drugs that neutralize stomach acid, as well as acid-suppressing agents such as proton-pump inhibitors, can inhibit the absorption of vitamin B 12 by preventing its release from food in the stomach

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