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Sikiri et al
Ann Rheum Dis .Feb 2017;76(2):318-328
Though the regulatory agency generally does accept the determinations of panels like these, it can and has rejected panel votes in the past
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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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