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Without supplementation, deficiency is nearly universal within 23 years People taking metformin long-term metformin use reduces B12 absorption by 1030% through calcium-dependent ileal uptake disruption [4] People taking PPIs or H2 blockers acid suppression impairs B12 release from food proteins

Am fully recovered in every sense, especially psychologically and with dealing with stoma on a daily basis, but am unusually tired

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Additionally, it has demonstrated anti-inflammatory properties, potentially benefiting joint health and overall well-being