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As a precautionary measure, the medication is contraindicated in patients with a personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2

IV Dosing Protocols Under Medical Supervision Administering Vitamin B12 via IV needs careful thought and medical watch

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If the cause of B12 deficiency is unclear, testing for intrinsic factor antibodies (and sometimes parietal cell antibodies) can help diagnose pernicious anaemia, an autoimmune condition affecting B12 absorption