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In addition to the amount of metformin a patient is taking, there are other factors that can affect vitamin B-12 absorption, such as age and genetics

[1] A common starting regimen in adults with normal renal and hepatic function is 1 mL intramuscularly once or twice weekly, titrated every four weeks according to biochemical markers such as fasting lipid panel, liver transaminases, and serum carnitine

Bring the full container to our clinic in Doral for proper disposal

To minimize: avoid blood thinners (aspirin, NSAIDs) around injection day if medically safe

Use trained personnel, appropriate engineering controls, personal protective equipment, contamination controls, and lawful disposal methods

Hydroxocobalamin is a form of vitamin B12 used to treat Vitamin B12 deficiency