Theoretically this interaction is possible with other proton pump inhibitors (PPIs), although specific clinical data are lacking
However, its important to follow proper protocols and consult with healthcare professionals.
You should seek medical advice if you experience: Persistent constipation that is not improving after trying self-care measures for a few weeks Blood in your stools (either bright red or dark, tar-like stools) Unexplained weight loss accompanying bowel changes Severe abdominal pain or bloating that is worsening or persistent Alternating constipation and diarrhoea that is persistent or recurrent A significant change in your normal bowel pattern, particularly if you are aged 60 or over with change to looser or more frequent stools, or aged 50 or over with unexplained rectal bleeding Symptoms of bowel obstruction such as inability to pass wind, severe cramping, or vomiting According to NICE guidance , these features may indicate conditions requiring investigation, including colorectal cancer, inflammatory bowel disease, or other gastrointestinal disorders

We observed a mild decrease (about 20%) in the cytochrome c level in the liver and a significant decrease (30%) in the kidney of GK rats (Figure 9C)
Therefore, we can conclude that the inhibition of mitochondrial activity by metformin is probably the driver of the phenotype observed here
Administering your own shot can feel intimidating, and its tough to replicate the precision and care of a trained professional