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2.3 Information sources and search strategy Three databases (PubMed, Embase, and Scopus) were searched up to 15 July 2024

The delayed gastric emptying can reduce stomach acid production and alter the environment needed for B12 liberation from food

Long-term risks are rare but may include nerve damage, leading to tingling, numbness, or weakness in limbs

Pharmacological Reports , 2018 Anti-Inflammatory Effects It reduces levels of pro-inflammatory cytokines like TNF- and IL-6 while modulating nitric oxide (NO) pathways that contribute to gut permeability and motility issues

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