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Certain medicines are also associated with reduced B12 absorption, most notably metformin (used in type 2 diabetes) and long-term use of proton pump inhibitors (PPIs) or H2-receptor antagonists
Complete rest from aggravating activities for at least the first 2 to 4 weeks of treatment allows the enhanced healing response to gain traction before gradually reintroducing load
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(PubMed) Haskell CF, Robertson B, Jones E, et al
Cellular Homeostasis Balances methionine, SAM, and homocysteine levels to maintain metabolic efficiency
