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These tests not only measure B12 levels but also help identify potential underlying causes of deficiency

Still, some people should use caution: Those with chronic health conditions should consult a doctor first Anyone on prescription medications drug interactions can occur Pregnant or breastfeeding women Those recovering from major illness or surgery Anyone with bleeding disorders, iron overload disease, or kidney issues If taking extra precautions due to age, medications, or health status, our experienced staff can recommend conservative doses, specific injection sites, and any pre-testing needed to minimize risks

For example, after we had discussed a draft of this chapter, one of my colleagues sent me an article from the Los Angeles Times that reported that a women from Sacramento had been hospitalized after using a bottle of Ponds cream she had bought from a pharmacy from Mexico (Reyes-Velarde 2019)

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