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This is not an issue with an injection (since IM/IV bypasses the gut), but if a patient is also taking oral supplements, they should separate them from tetracycline dosing

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Progress reviews were practical, not generic copy-paste advice

It keeps the sterility and efficacy of formulation intact

It also depends on how deficient you are already

Diagnosis typically involves blood tests including full blood count (showing macrocytosis), anti-intrinsic factor antibodies (which are specific for pernicious anaemia), and sometimes anti-parietal cell antibodies