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[134] The species Pseudomonas denitrificans and Propionibacterium freudenreichii subsp
B12/MIC Injections are not available in AR
In these cases, B12 injections can be a practical solution to maintain healthy levels of the vitamin while adhering to a plant-based diet
After starting and after each dose increase, tirzepatide can cut the peak absorption of an oral contraceptive by more than half, so the label guidance is a non-oral method or added barrier protection for four weeks after starting and four weeks after each increase. It is a first-dose-and-escalation effect, not a permanent block on all oral drugs
Also, patients should be warned about the danger of taking folic acid in place of vitamin B12, because the former may prevent anemia but allow progression of subacute combined degeneration
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