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B12 injections should definitely not be avoided if you have pernicious anemea and can not absorb b12 through the gut due to low stomach acid ,

Oral vitamin B 12 treatment is effective for children with nutritional vitamin B 12 deficiency

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Patients should be monitored closely for bleeding while receiving systemic ketorolac, receiving concurrent myelosuppressive chemotherapy, corticosteroid therapy, or anticoagulant therapy, tobacco smoking patients, or in patients with alcoholism

Is this the same as HRT (Hormone Replacement Therapy)