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The iron dextran complex is sufficiently large to preclude renal elimination

Food and Drug Administration) Dietary deficiency of vitamin B 12 occurring in strict vegetarians and in their breastfed infants (isolated vitamin B 12 deficiency is very rare) Malabsorption of vitamin B 12 resulting from damage to the stomach, where intrinsic factor is secreted, or damage to the ileum, where intrinsic factor facilitates vitamin B 12 absorption

Medical treatment, prescribing, diagnosis, and individualized care require an established relationship with a licensed clinician

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[12] Healthcare providers will monitor any unusual responses and can adjust treatment if any potential interaction is suspected