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In addition to risk of vitamin B12, calcium, iron and magnesium malabsorption, there is evidence that acid suppression by PPIs increases risk of malabsorption of other important vitamins and minerals as well, including vitamin C, zinc and folic acid.[231- 235] Proton pump inhibitor therapy lowers the concentration of vitamin C in gastric juice and the proportion of the vitamin in its active antioxidant form i.e., ascorbic acid

While the peptide has shown no negative effects on glucose metabolism in clinical trials, medical oversight is advisable for individuals with metabolic conditions

Sometimes it tells you everything is fine

B12 supplementation in people who are not deficient does not produce meaningful additional energy benefits beyond what normal B12 levels already provide

Symptoms may include fatigue, weakness, memory problems, difficulty concentrating, mood changes, numbness or tingling in the hands and feet, and difficulty maintaining balance