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I dont overpromise that this is a cure-all, Kahn told NPR

It is particularly common in individuals with certain risk factors, including those who have undergone gastric or small intestine resections, have inflammatory bowel disease, use metformin or proton pump inhibitors, follow a vegan diet, or are older than 75 years

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With the evolving concept of multiple analyte testing (13, 14, 1821) randomized placebo-controlled trials are warranted in which cB12the indicator of vitamin B-12 status that combines all 4 vitamin B-12 biomarkersis used to determine the influence of PPIs, H2RAs, and metformin on vitamin B-12 status

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