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Many patients find relief through dose reduction, slower escalation, or temporary pause

However, compounding pharmacies must still follow strict guidelines set by state boards of pharmacy and adhere to USP (United States Pharmacopeia) standards for quality and safety

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The following are being older, because a person becomes less able to absorb B12 as they age eating a vegetarian or vegan diet taking anti-acid medication for an extended period weight loss surgery or other stomach surgery, which can affect how the digestive system absorbs vitamin B12 Most people can get enough vitamin B12 from dietary sources