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Antibiotic Prophylaxis Before Endoscopic Procedures Procedure Indication for antibiotics ERCP without cholangitis (complete drainage) ERCP for obstruction without cholangitis (incomplete drainage) Liver transplant EUS-FNA of solid lesion (upper or lower GI tract) EUS-FNA of mediastinal cysts EUS-FNA of pancreatic or peripancreatic cysts PEG or PEJ initial placement Cirrhosis with GI bleeding Synthetic vascular graft OR prosthetic joints Lower endoscopy in patient undergoing peritoneal dialysis No Yes

If you're not on a GLP-1, lipo B12 shots are still effective on their own as part of a wellness or weight loss routine

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How often you need B12 depends on why you are having it