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This is not the medication failing

You don't need a rigid diet plan, but food quality becomes more important because you're eating less total volume

Yes, long-term use of proton pump inhibitors (PPIs) such as omeprazole can impair B12 absorption by reducing gastric acid production

The fundamental mechanism of action involves mimicking the physiological effects of endogenous GLP-1, which is secreted by intestinal L-cells in response to food intake

This often depends on factors such as your diagnosis, prior treatment history, and whether your doctor provides sufficient justification for the switch

Clinical Journal of the American Society of Nephrology