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Additional risk factors include: Chronic kidney disease : Reduced renal clearance may impair B12 excretion Liver disease : Hepatic dysfunction can disrupt B12 metabolism and storage Myeloproliferative disorders : Certain blood cancers increase B12-binding proteins Concurrent medication use : Some drugs may interact with B12 metabolism, including metformin, proton pump inhibitors, and H2 antagonists Patients with these conditions should have B12 supplementation carefully monitored by their healthcare team
The patients reported history of heroin and tobacco use coupled with his hepatitis C-positive status highlights the significant risk factors for deep vein thrombosis (DVT)
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ANTIMICROBIAL PROPERTIES
Where to Give B12 Shot Intramuscular injections can be given in several locations on the body, with the most common being the upper buttocks, the shoulder, and the thigh
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