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Example: a ventrogluteal-focused gluteal IM injection model helps students practice safe site identification

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A proper lab workup and discussion with a physician are necessary to discover or rule out whether inadequate B12 levels could be at play

The freed B12 then binds to intrinsic factor, a protein produced by gastric parietal cells, forming a complex that travels to the terminal ileum (the last section of the small intestine) where it is absorbed into the bloodstream

234 Infusion Therapies An infusion therapy, which combines high-dose corticosteroids with low-molecular-weight dextran and pentoxifylline (Trental), was first described by German physician Eberhard Stennert in 1979

A class of peptic ulcer and antacid drugs called histamine H2 receptor agonists, including Tagamet, Zantac, and Pepcid Anticonvulsants including phenobarbital, primidone, and phenytoin Bile acid sequestrants including colestipol and cholestyramine, which lower cholesterol Chemotherapy medications like methotrexate Metformin, which is a diabetes drug Proton pump inhibitor drugs used to treat acid reflux, such as omeprazole (Prilosec), esomeprazole (Nexium), or lansoprazole (Prevacid) Tetracycline, an antibiotic Lastly, it is also essential that you communicate with your provider if you have kidney disease or an allergy to cobalt or any other medication, vitamin, dye, food, or preservative