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Careful explanation was sufficient reassurance that there would be no untoward effects
Healthcare providers should document all supplements and compounded preparations patients are using (including full ingredient lists and lot numbers), counsel on proper injection technique and site rotation, and monitor for unexpected adverse effects
These shots are administered via intramuscular injection (often referred to as IM) so there is no gastrointestinal metabolism, which also allows for increased nutritional absorption
M., Mohan, S., Syed, N
So people at greatest risk for deficiency include those with low stomach acid (e.g., older adults and people on proton pump inhibitors or antacids) or low IF production (known as pernicious anemia), people on medications that interfere with B12 absorption (such as metformin), people who have had gastric surgery, those with GI conditions that impair nutrient absorption (like celiac or Crohn's disease), and people on vegan and vegetarian diets
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