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doi: 10.1016/0026-0495(81)90052-4 61 FazeliPKLawsonEAPrabhakaranRMillerKKDonohoDAClemmonsDRet al

Risk factors that should prompt consideration of B12 deficiency include advancing age (reduced stomach acid production), strict vegan or vegetarian diets, pernicious anaemia, gastrointestinal surgery (particularly gastric bypass or ileal resection), long-term use of certain medications (metformin, proton pump inhibitors, H2-receptor antagonists), nitrous oxide exposure (including recreational use), and conditions affecting the gut such as Crohn's disease or coeliac disease

Int J Biochem Cell Biol (2008) 40(10):19849.10.1016/j.biocel.2007.07.008 9 WatersMJBrooksAJ

mL mg/mL Reconstituting your vial Reconstitution is adding liquid, almost always bacteriostatic water, to a freeze-dried (lyophilized) peptide so you can measure and inject it

Medical professionals recommend that these injections should only be used during pregnancy when clearly necessary, and the risks and benefits must be carefully evaluated by a healthcare provider