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Its worth the effort to speak with your doctor about alternate medications to see if there is a way to reduce these side-effects so you can get the most benefit out of your lipotropic injections

It helps to picture the chemistry

Proton-pump inhibitors (e.g., omeprazole, esomeprazole, and lansoprazole), used to treat Zollinger-Ellison syndrome and gastroesophageal reflux disease (GERD), markedly decrease stomach acid secretion required for the release of vitamin B 12 from food but not from supplements

By Alan Venable B12 to lose weight

These effects occur without elevating IGF-1 or affecting carbohydrate metabolism, differentiating it from full-length HGH in terms of safety and selectivity