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Do not use this drug if you or a family member has had: Medullary Thyroid Carcinoma (MTC) Multiple Endocrine Neoplasia syndrome type 2 (MEN 2) FDA Adverse Event Reporting To report side effects, visit www.fda.gov/medwatch or call 1-800-FDA-1088

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B12 requires intrinsic factor in the stomach and adequate gastric acid for proper absorption, both of which may be impacted when digestive transit time increases