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Alcohol intolerance Alcohol may cause adverse reactions in some, including flushing of the skin, nasal congestion, elevated heart rate, and reduced blood pressure

Similarly, one in eight older adults is reported to have low B 12 status (Reference Laird, OHalloran and Carey5) , while low dietary intakes and low blood status have been reported throughout all age groups in the Irish population (Reference Hopkins, Gibney and Nugent6)

Always follow institutional biosafety, laboratory handling, and disposal requirements

Therefore, the decision to include corticosteroids in the injection will be made after careful discussion with the patient

B12 supplementation has been reported by some clinicians and patients to help with GLP-1 nausea, but no controlled studies have confirmed this effect

Jul 2022;72(720):332-333