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the rubber diaphragm was never disinfected before withdrawal, alongside a 25% contamination rate (Journal of Education and Health Promotion via PubMed Central (PMC6149120)) [6] USP General Chapter 797 Pharmaceutical Compounding, Sterile Preparations (2008 Revision Bulletin

2009 May;219(2):449-58

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To ensure your therapy goes smoothly, avoid these pitfalls: Incorrect Dosing: Never take more or less than prescribed

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