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Phentermine is a controlled substance with amphetamine-like properties
Disruptions in the intrinsic factor (IF) pathway, including impaired IF production due to autoimmune conditions (pernicious anemia), damage to the ileum from diseases like Crohns or celiac disease, or surgical resection of the ileum, can severely impair B12 absorption
Clean the injection site with alcohol, pinch the skin to create a fold of tissue, insert the needle at a 45-90 degree angle, inject slowly, and withdraw the needle
PMC 6632124
This absence of metabolic disruption at chronic supra-therapeutic doses provides indirect reassurance about acute overdose safety
Infusion Therapy in the Treatment of Neuropathic Pain
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