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Patients taking certain medications (e.g., chloramphenicol may reduce the effectiveness of B12 therapy) or with risk factors for B12 deficiency (metformin use, proton pump inhibitors, nitrous oxide exposure, vegan diet) should discuss these with their healthcare provider

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Instead, lab technicians utilize an explicit tb-500 and bpc-157 dosage chart calibrated to the liquid diluent introduced during reconstitution