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A proper lab workup and discussion with a physician are necessary to discover or rule out whether inadequate B12 levels could be at play

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A class of peptic ulcer and antacid drugs called histamine H2 receptor agonists, including Tagamet, Zantac, and Pepcid Anticonvulsants including phenobarbital, primidone, and phenytoin Bile acid sequestrants including colestipol and cholestyramine, which lower cholesterol Chemotherapy medications like methotrexate Metformin, which is a diabetes drug Proton pump inhibitor drugs used to treat acid reflux, such as omeprazole (Prilosec), esomeprazole (Nexium), or lansoprazole (Prevacid) Tetracycline, an antibiotic Lastly, it is also essential that you communicate with your provider if you have kidney disease or an allergy to cobalt or any other medication, vitamin, dye, food, or preservative

Suppliers should ship with ice packs and provide storage instructions

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234 Infusion Therapies An infusion therapy, which combines high-dose corticosteroids with low-molecular-weight dextran and pentoxifylline (Trental), was first described by German physician Eberhard Stennert in 1979