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It can cause pain in the spine or in other parts of the body

Dupilumab is also associated with an increased risk of oral herpes (cold sores)

B proactive Its a good idea to ask your doctor (or your Blueprint Health nurse) about having your B12 level checked if you: are over 50 years old take a proton-pump inhibitor (such as Nexium or Prevacid) or H2 blocker (such as Pepcid or Zantac) take metformin (a diabetes drug) are a strict vegetarian have had weight-loss surgery or have a condition that interferes with the absorption of food A serious vitamin B12 deficiency can be corrected two ways: weekly shots of vitamin B12 or daily high-dose B12 pills

These are laboratory research observations only, are not established human or veterinary effects, and no combined effect is claimed