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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

Closes ulcers

If you are on blood thinners or anticoagulants, be sure to inform us, as this may influence how we administer your injection

Use within 2-4 weeks

[1] People who regularly take medications that suppress stomach acid for conditions like gastroesophageal reflux disease (GERD) or peptic ulcer diseasesuch as proton-pump inhibitors, H2 blockers, or other antacidsmay have difficulty absorbing vitamin B12 from food

For trips under one week in temperate climates, a quality insulated case with two gel packs can maintain safe temperatures without access to a refrigerator