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[10] Long-term use of proton pump inhibitors (PPIs) and H2-receptor antagonists reduces gastric acid, potentially impairing the release of B12 from dietary proteins
If you take medications long-term: ask whether periodic monitoring is appropriate
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Some patients might develop allergic reaction and present with symptoms of rashes, hives, swelling of lips, tongue and throat along with difficulty breathing, chest tightness due to inflamed airways
