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When using PROZAC and olanzapine in combination, also refer to the Warnings and Precautions section of the package insert for Symbyax

Avoid freezing the reconstituted solution, since freezethaw can degrade the compound

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Common causes include dietary deficiency (eg, vegan or vegetarian diet, low intake of meat or dairy products), use of proton-pump inhibitors or H2 blockers, and poor B12 absorption due to age-related changes in the stomach (eg, atrophic gastritis)

other times it amplified the pain
