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In addition, CVS said at one point the shots would not be available in 16 states including Massachusetts and Pennsylvania that required vaccines to be approved by the Centers for Disease Control and Preventions Advisory Committee on Immunization Practices, which is not meeting until Sept

Patients taking certain medications (e.g., chloramphenicol may reduce the effectiveness of B12 therapy) or with risk factors for B12 deficiency (metformin use, proton pump inhibitors, nitrous oxide exposure, vegan diet) should discuss these with their healthcare provider

The problem often isn't a lack of willpower

Liver disease is a significant cause of elevated B12

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