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During the physical examination, your doctor will look for a red, beefy tongue, pale or yellowish skin, a rapid pulse, and heart murmurs resulting from an anemia-related increase in blood flow demands on the heart
A pharmacy might send a 10mg/2mL pre-mixed vial (5mg/mL) or a 12.5mg/2.5mL vial (also 5mg/mL) or any number of custom concentrations
Patients should also be aware that certain medicationssuch as proton pump inhibitors (PPIs) and metformincan interfere with B12 absorption, though this is less relevant once on injection therapy
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