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Although fetal risk has not been characterized completely, the administration of glucagon appears to be justified to decrease intestinal motility to help reduce procedure time and to aid in cannulation of the bile duct and sphincterotomy during therapeutic ERCP, which is performed because of the high risk of untreated maternal cholangitis

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High B12 level may occur if you take high doses of B12 supplements

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As a workaround, people with PA or other stomach issues are usually treated with B12 tablets or injections