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Interactions with drugs: Chloramphenicol can impede on the red blood cell producing properties of B12 Other drugs that decrease or reduce absorption of B12: antibiotics, cobalt irradiation, colchicine, colestipol, H2-blockers, metformin, nicotine, birth control pills, potassium chloride, proton pump inhibitors such as Prevacid, Losec, Aciphex, Pantaloc, and Zidovudine

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There are also two stop and seek care signals worth stating plainly as reference context, because they are the classs more serious events: severe, persistent abdominal pain (which may radiate to the back and can signal pancreatitis) and symptoms of gallbladder disease such as right-upper-quadrant pain, fever, or jaundice

doi: 10.4161/auto.7.5.14845