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Seafoods including clams, sardines, tuna, trout, and salmon are also all high in B12

What to do when you spot a warning sign Follow this protocol: Do not inject the medication Take a photo of the vial with good lighting for documentation Note the lot number, expiration date, and pharmacy name on the label Contact your compounding pharmacy and describe what you see Ask for a replacement vial If you already injected medication that looked abnormal and experience any unusual symptoms, contact your healthcare provider You are not overreacting by calling your pharmacy about a suspicious-looking vial

The deficiency is probably more common in those following vegan and strict vegetarian diets for at least some years

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