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It also suggests talking to your doctor first if you: have kidney or liver disease have any type of infection are receiving treatment that affects bone marrow Encourage clients to talk with their doctor before trying to achieve weight loss with vitamin B12 injections

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People taking heartburn medication, such as proton pump inhibitors, are at a higher risk for B12 deficiency and may benefit from alternative therapies to control/eliminate the heartburn or have regular Nutrient IV therapies and/or Vitamin B12 injections Elderly Vegans Vegetarians People with tapeworms Alcoholics Excessive use of antibiotics Excessive use of anti-convulsant medication Daily consumption of Aspirin may increase the risk for vitamin B12 deficiency

Reconstitution For a 5 mg vial add 2 mL bacteriostatic water : This gives a clean 2,500 mcg/mL concentration