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It is notably rare for PA to present at such a young age, as it typically occurs in individuals between 40 and 70 years

Clean the vial stopper and injection site with separate alcohol swabs

[DOI] [PubMed] [Google Scholar] 57.Hope M, Saxby TS

Patients should avoid ingesting large amounts of vitamin C within 1 hour of oral vitamin B12 administration Extended release potassium products Antibiotics such as gentamicin, neomycin, tobramycin Anti-seizure medications such as phenobarbital, phenytoin, primidone Medicines used to treat heartburn like H2 blockers such as cimetidine and proton pump inhibitors such as omeprazole Antacids such as ranitidine, cimetidine Vitamin B12 Injection Storage and Safety Information Vitamin B12 tablets should be in a cool and dry place