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While compounding is a well-established pharmacy practice that can mitigate the impacts of drug shortages or fill a need for patients with allergies or other reasons that prevent them from using an FDA-approved drug, it is important to ensure that compounded drugs are safely manufactured and used

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Other conditions that make Vitamin B12 absorption more difficult are: Weight loss surgery or another operation that removed part of your stomach Heavy drinking Taking acid-reducing medication for a long time Certain health issues may also lead to the development of vitamin B12 deficiency such as atrophic gastritis, pernicious anemia, Crohns disease, celiac disease, immune system disorders, Graves disease and lupus

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