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If your stomach is not producing enough stomach acid then you will have a problem not only with the digestion of your food but also with the absorption of certain nutrients, chiefly vitamin B12

Some clinical studies have shown that pioglitazone treatment (30 mg/day, P.O for 4 weeks) exhibits antioxidant properties in diabetic patients, as reflected by a decrease in MDA [218, 219]

These approaches aren't competing with each other

While antibiotics can be life-saving, they may also come with side effects, including gastrointestinal discomfort, allergic reactions, and the risk of developing antibiotic resistance with prolonged use