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Screening may be warranted in patients with one or more risk factors, such as gastric or small intestine resections, inflammatory bowel disease, use of metformin for more than four months, use of proton pump inhibitors or histamine H 2 blockers for more than 12 months, vegans or strict vegetarians, and adults older than 75 years

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[1] If during injection a patient experiences chest pain, difficulty breathing, hives, or swelling of the face or throat, it could indicate anaphylactic shock

Inclusion on that list would allow licensed compounding pharmacies to legally mix and dispense the compound to patients who hold a valid prescription