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Compounded medications are typically prescribed when a clinician determines that a patient's needs are not adequately met by commercially available FDA-approved products - a framework established under Section 503A of the Federal Food, Drug, and Cosmetic Act

Contraindications or require Caution: individuals who are pregnant or breastfeeding, have a history of cancer, or have pre-existing liver or kidney conditions

Likely related to niacin-like vasodilation from rapid B12 absorption

Diverticula can be small (pea-sized) or larger

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