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I believe the rush toward higher doses reflects a common misconception that more equals better

For older adults on long-term PPIs, periodic B12 monitoring is appropriate and a daily sublingual methylcobalamin is a reasonable preventive measure to discuss with the prescriber

Acute renal failure (unspecified), hyponatremia, hyperkalemia, flank pain with or without hematuria and/or azotemia, hemolytic-uremic syndrome, and interstitial nephritis have been reported to occur with systemic ketorolac, but a causal relationship has not been established

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If you have a vitamin B12 deficiency, you may receive injections daily or every other day to help replenish your B12 levels

However, it is contraindicated in patients with active malignancies