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Patients should be trained on proper disposal of used needles in a sharps container and should never reuse needles due to infection risk and potential for needle damage that could cause pain or tissue trauma

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If you miss a dose by more than 4 days, the manufacturer recommends skipping that dose and resuming on your next scheduled day

It is also added to many fortified foods

If pepsin formation is compromised, the ability of protein bound vitamin B12 to be freed for additional preparations for absorption will be compromised.2-7 In addition, the increase gastric pH also contributes to a greater degree of bacterial colonization and replication within the gastrointestinal tract, thus potentially leading to bacterial overgrowth.2 If bacterial overgrowth also occurs then additional vitamin B12 that was originally ingested for absorption will be utilized by the enteric bacteria thereby reducing the final amount of vitamin B12 available for absorption in the terminal ileum of the small intestine