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It is used in the treatment and prevention of vitamin B12 deficiency in patients with conditions such as: Addisonian (pernicious) anemia Malabsorption Atrophic gastritis Prolonged treatment with metformin Small bowel bacterial overgrowth (SIBO) Total or partial gastrectomy Infection with the fish parasite Diphyllobothrium latum Helicobacter pylori infection Pancreatic dysfunction Pancreatic or bowel malignancy Dietary deficiency (e.g

When to Contact Your Provider Contact your prescribing provider if a nodule is warm to the touch, red, expanding rather than shrinking over 48 hours, or accompanied by fever

That is one reason many patients prefer working with a clinic rather than piecing together fragmented information online

For single-dose, single-use only

Other commenters expressed support for the program as proposed but requested additional details regarding certain aspects of the SFP, such as how the algorithm will be monitored and how hospices will be selected for the SFP