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The FDA states that the agency would consider taking action against a compounder for compounding drug products with this bulk drug substance

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Aside from vegetarians, people at risk for a B12 deficiency include those with pernicious anemia, people who have had intestinal surgery such as gastric bypass, those with Crohns or celiac disease, and anyone whose stomach does not produce enough hydrochloric acid to absorb the vitamin B12 thats naturally present in food