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Because we are licensed in all 50 states*, we can accept prescriptions from many licensed prescribers if the prescription is written within their scope of practice and with a valid patient-practitioner relationship

Basic and Applied Zoology, 81, 110

Supplementation is unnecessary if parenteral therapy repletes serum levels, but individual assessment is advised

Vitamin B12 deficiency and cognitive impairment: A comprehensive review

[12] Gastric acid-suppressing agents (proton-pump inhibitors and H-receptor antagonists) diminish dietary B12 liberation from protein complexes, a pharmacodynamic interaction that can exacerbate underlying deficiency

excess is renally excreted, though very high levels can cause dermatologic or metabolic effects