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2025;45(1):e16191

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Key Considerations for PPI Users: Monitor B12 levels regularly Discuss alternative treatments with your healthcare provider Consider B12 supplementation if necessary Antibiotic Interference with B12 Metabolism Some antibiotics can change the guts bacteria, affecting B12 metabolism

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Before interacting with bio-substrates, the frontier orbitals of the vitamin B12 forms are three orbitals labeled , , and *, as shown in the left part of Fig

Eating fortified cereals can also help