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When to Consider Compounded Topical Anticholinergics For patients who do not respond to or cannot tolerate aluminum salts alone, topical anticholinergic therapy becomes a logical next step

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Additional preclinical safety evaluation and regulatory toxicology research may help clarify how findings observed in experimental models translate to human biology

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Medical Conditions, Surgeries, and Medications Lack of intrinsic factor (a protein made in the stomach thats needed for B12 absorption) - this condition is called pernicious anemia Thyroid disease HIV/AIDS (human immunodeficiency virus/acquired immunodeficiency syndrome) Autoimmune diseases like type 1 diabetes, where the immune system in the body attacks its own tissues Gastric bypass surgery (weight loss surgery) Chronic gastritis surgery Certain medications like heartburn drugs (proton pump inhibitors) which reduce stomach acid production Who Is At Risk of Vitamin B12 Deficiency

Other animals, like pigs, normally receive their allotment of B vitamins through commercial feed mixes