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Step 2: Check the expiration or beyond-use date Compounded medications have a BUD (beyond-use date) rather than a traditional expiration date

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Day 1: sore arm and fatigue Day 2: Bad arm pain (like someone shot me with a shotgun through my arm and then was beating the wound with a bat), mild chills, mild nausea, and fatigue By end of Day 3: Felt fine except for mild arm soreness

The long-term effects of chronic use on the endocrine system have not been formally investigated

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[20] [21] Proton pump inhibitors (PPIs) such as omeprazole can reduce B12 absorption and may cause digestive upset