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[6] Caution is advised in patients with advanced renal impairment or those receiving dialysis, given the renal clearance of carnitine and the risk of accumulation
You may not get enough B12 in your diet if you are: Vegan Vegetarian Over 50 Living with digestive conditions that affect nutrient absorption, such as IBS, celiac, or Crohns disease Taking certain medications like metformin or proton pump inhibitors (PPIs) What are the symptoms of B12 deficiency
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For most nonpregnant, non-breastfeeding people without specific allergies, adverse events are limited to mild and transient flu-like effects and (for injectables) injection site reactions
There is no downtime, and you can drive and resume your day immediately after the shot
Increases above normal ranges should prompt evaluation
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