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Are They Safe

(Torbey, 2019) [2] Phenobarbital may increase the risk of valproic acid-induced hyperammonemia (as a result of hepatic enzyme induction by phenobarbital)

He will also ask about any underlying health conditions that can impact B12 absorption, such as digestive disorders (like Crohns disease or celiac disease), past surgeries (including gastric bypass), or dietary patterns common in families, such as vegetarian or vegan diets

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Check if the correct dosage is still in the syringe after removing air bubbles