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Patients may also have low levels of vitamin B12 if they have had bariatric surgery, are strict vegetarians, or have used antacids or proton pump inhibitors for a prolonged period

systolic blood pressure down 6-9 mmHg, reversing on withdrawal: Sattar Ann Rheum Dis 2026

On a side-note, please dont discount some of the people who are posting their side-effects

This creates a gap where private insurance patients get discounts, but Medicaid patients don't qualify

What becomes the problem then are synkinesis, excessive contraction levels of the facial muscles, tight rigidity of muscles, some painful spots, crocodile tears and so on