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Both oral cyanocobalamin and injectable hydroxocobalamin list diarrhoea as a rare adverse reaction in UK product information
According to the FDA Prescribing Information, each single-dose pen contains tirzepatide, sodium chloride, sodium phosphate dibasic heptahydrate, water for injection, and may contain hydrochloric acid and/or sodium hydroxide for pH adjustment
The metabolism and clearance of both components may be affected by significant liver disease, and patients with severe hepatic impairment should be monitored closely if treatment is deemed necessary
You can find B-12 naturally in poultry, meat, fish, and dairy products
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