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The operative note must document which components were exchanged
Avoid shaking the vial
Endocrinology 1993;133:286170.ArticlePubMed 21
Common forms: tablet, capsule, liquid, sublingual, nasal, injection Common reasons for different dosing: prevention, confirmed deficiency, absorption problems, product strength, and medical supervision Important point: prescription products and over-the-counter supplements may have different intended uses Who may need medical guidance before taking vitamin B12 Many adults can use standard over-the-counter vitamin B12 products as directed on the label, but some people should speak with a clinician first
For patients with adequate levels, the injections are unlikely to deliver the dramatic results that marketing materials suggest
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