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Individuals at risk of vitamin B12 deficiency include older adults, people with gastrointestinal disorders, those who have had gastrointestinal surgeries, individuals on a strict vegan diet, individuals who take metformin for blood sugar control, and people taking proton pump inhibitors for chronic heartburn

Quality statement 8: Monitoring after discharge from the bariatric surgery service (QS212)

"Hydroxocobalamin Use During Pregnancy"

The glucagon component appears to be the differentiator

The meta-analysis reported an odds ratio of 28.04 for injection site reactions compared to placebo

If three peptides each require 0.1 mL per dose, that is 0.3 mL total, which can sometimes be combined into a single syringe draw (from separate vials into one syringe) for a single injection