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Relative contraindications or situations requiring heightened caution include severe gastroparesis, active gallbladder disease, history of pancreatitis, severe gastrointestinal disease, diabetic retinopathy, and inadequate nutritional status

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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

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These pharmacies require patient-specific prescriptions and operate primarily under state pharmacy board oversight