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Cyanocobalamin (Vitamin B-12) Deficiency Advise the patient or caregiver to report any clinical symptoms that may be associated with cyanocobalamin deficiency to the patients healthcare provider if they have been receiving NEXIUM for longer than 3 years [see Warnings and Precautions (5.8)]

Report persistent nausea or vomiting to your healthcare provider, as severe symptoms may require dose adjustment or temporary treatment interruption

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If not, consult a professional to receive B12 through pill forms or shots.

Peptides like BPC-157 and TB-500 are typically sold for research purposes only and are not approved by the FDA for direct patient or human treatment