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Proton pump inhibitors and H2 receptor antagonists, commonly used for gastroesophageal reflux disease and peptic ulcer disease, may affect vitamin B12 status through multiple mechanisms

His doctor told him to cut alcohol and lose weight

Thoughts on Getting Enough Vitamin B12 on a Vegetarian Diet Genes Mentioned Contents There arent a lot of things the nutrition world agrees on, but this may be one of them: vegetarians, and especially vegans, have a tough time getting enough Vitamin B12

However, if plateau seems premature, consider cycling your protocol

it is after all the most important meal of the day for many good reasons