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Proton pump inhibitors (acid blockers) and over-the-counter non-steroidal anti-inflammatory agents can change the environment of the GI tract predisposing to nutrient deficiencies Unfortunately, that isnt an exhaustive list, but it does give you a pretty good idea of why you should be concerned about your vitamin B12 levels
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Your cells continue producing growth factors, blood vessels continue forming, inflammatory mediators remain balanced All of which are triggered by the initial peptide exposure
Maintaining healthy levels of B12 in the body prevents anemia
Still do my stretches religiously but the constant ache is gone
And finally, monitoring potassium is more relevant in patients with any pre-existing renal or cardiac disease, or other risk factors rather than universally in all patients receiving methylcobalamin
