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Medications: Some drugs can affect B12 absorption

That's why, when reported, outcomes tend to be inconsistent and heavily dependent on the person's routine

Per established liability guidance, the worst outcome in a board investigation is a patient who says the physician never even told me this wasnt approved. For long-term prescribing, re-obtain and re-document consent as the evidence base and regulatory status evolve, particularly if FDA acts on the PCAC recommendation and the compounds legal status changes