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The Effects of Proton Pump Inhibitors in Acid Hypersecretion-Induced Vitamin B12 Deficiency: A Systematic Review (2022)

PMID 3257264

Because it modulates a methylation and NAD+ pathway, interactions with other metabolically active compounds cannot be ruled out and have not been characterised in humans

Similarly, individuals with Crohns disease or ulcerative colitis may experience compromised B12 absorption, and injections can be an effective way to address this

Managing these complexities internally can be challenging, especially with evolving billing rules and increasing audit scrutiny

Once Botox is working, patients can often wean off daily pills being used for migraine prevention