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A sterile environment is also non-negotiable
Asymptomatic patients with usually low levels of vitamin B12 are at high risk of vitamin B12 deficiency
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Medications that reduce B12 absorption: Proton pump inhibitors (PPIs) such as omeprazole, lansoprazole, and esomeprazole are amongst the most commonly prescribed drugs in elderly populations
If you have any doubts about whether the medication has been stored properly, contact the pharmacy or your healthcare provider for advice
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