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Importantly, these medications carry boxed warnings for medullary thyroid carcinoma risk and are contraindicated in patients with personal or family history of MEN2 or medullary thyroid carcinoma

This evidence-based approach avoids unnecessary costs and complexity while ensuring people who truly benefit from b12 addition receive appropriate supplementation

In most cases, these names refer to the same compound, though product quality and formulation can vary significantly

But it uses the same approach in the gut to get it back into the body that is broken in people with PA