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Screening may be warranted in patients with one or more risk factors, such as gastric or small intestine resections, inflammatory bowel disease, use of metformin for more than four months, use of proton pump inhibitors or histamine H 2 blockers for more than 12 months, vegans or strict vegetarians, and adults older than 75 years

Furthermore, we consider precautionary B12 treatment to be an appropriate and advisable response to such symptoms, due to the number of positive experience reports as well as the fact that blood measurements and other test factors are often misleading in this area

Multi-dose vials and bacteriostatic preservative: Bacteriostatic water is supplied in multi-use vials (typically 30 mL)

Dispose of syringe/needle in an appropriate sharps container