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Renal impairment reduces B12 excretion, leading to accumulation
However, if you miss a medical appointment for your regular dose schedule, inform your healthcare provider as soon as possible
[107] Anti-seizure medications phenobarbital, pregabalin, primidone and topiramate are associated with lower than normal serum vitamin concentration
Clinical Note: If IO lidocaine is to be used, it must be preservative free, which is typical for the lidocaine in code carts, but not lidocaine used for wound anesthesia
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