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Minimize airway secretions during surgery

Higher-Caution Situations Extra medical supervision is important if you: have a history of reactions to injectable vitamins/cobalamins have significant kidney or liver disease are pregnant or breastfeeding are offered a compounded MIC B12 product without clear labeling of ingredients, concentrations, and compounding source The FDAs overview of compounding helps explain why quality can vary (see Compounding and the FDA: Questions and Answers )

Beyond localized pain, rare but severe adverse reports highlight the potential for systemic immunological and psychiatric distress

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Ask about medical-necessity requirements: check whether coverage requires a prior diagnosis of anemia or deficiency

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