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FDA cites potential immunogenicity from aggregation and peptide-related impurities and states that human safety data are limited
[1] [5] In post-bariatric patients, these gastrointestinal symptoms may be more pronounced or difficult to distinguish from surgical complications, potentially delaying recognition of serious issues such as bowel obstruction, internal hernia, or anastomotic ulceration
Healthcare providers must think about both the dose and the strength of the B12 solution
doi:10.1556/APhysiol.101.2014.4.4 Breuss JM, Atanasov AG, Uhrin P
