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Step 3: Sanitize the Vial Tops Use the alcohol wipes to thoroughly clean the rubber stoppers on the tops of both vials
intravenous infusion, up to 1 hour
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18 Prevention Because of potential interactions from prolonged medication use, physicians should consider screening patients for vitamin B 12 deficiency if they have been taking proton pump inhibitors or H 2 blockers for more than 12 months, or metformin for more than four months
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