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Pre-procedural gastric ultrasound screening is recommended to assess for retained gastric contents

Routines break

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It is also more light-sensitive than cyanocobalamin, which means formulations containing methylcobalamin may have additional light protection requirements and potentially shorter shelf lives if not stored properly in opaque containers

However, the gastrointestinal side effects (vomiting, diarrhea) can cause dehydration that worsens kidney function