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As with all approved drugs, physicians may prescribe them for offlabel use

and c) irregular dietary patterns), reduced bioavailability (impairment of the intrinsic factor-mediated absorption pathway, often due to the widespread and prolonged use of proton pump inhibitors), and malabsorption syndromes

They could be injecting you with something as benign as saline solution or something potentially dangerous

Photoluminescence Spectroscopy of Mass-Selected Electrosprayed Ions Embedded in Cryogenic Rare-Gas Matrixes

and low-risk patients (D/R) do not receive prophylaxis (5, 6)
