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Beyond the rare conditions above, a few groups should have a detailed conversation with a provider before starting

NOTE: All patients on rituximab should strongly consider Evusheld treatments as an extra precaution in preventing severe COVID-19 infection complications (see below)

How should subcutaneous vitamin B12 (cobalamin) be dosed and administered for cobalamin deficiency, including regimen, injection technique, contraindications, adverse effects, oral alternatives, and monitoring?

Mayo Clinic also notes bismuth subsalicylate can cause gray-black stools that go away after stopping