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Symptoms include redness warmth pain, or swelling This begins a day or more after the IV, possibly with some pus if its an infection

Drug Interactions Several common medications reduce B12 absorption: Metformin (diabetes) significant reduction in B12 absorption Proton pump inhibitors (Omeprazole, Pantoprazole) reduce stomach acid needed for absorption H2 blockers (Ranitidine, Famotidine) similar effect to PPIs Colchicine (gout) may reduce B12 absorption If you take any of these medications long-term, B12 supplementation is strongly recommended

Some compounded formulations include B12 or other vitamins

Nbel J, Truthmann J, Heidemann C, Du Y, Paprott R, Hapke U, et al

The plaintiffs claim that they never would have used Ozempic if they had known about the risk of stomach paralysis

The interim play is the drugs already on the trial path