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Certain medications may make it harder for your body to absorb B-12, including: Acid reflux and peptic ulcer disease medications, including: famotidine (Pepcid AC) lansoprazole (Prevacid) omeprazole (Prilosec) Metformin (Glucophage, Glumetza), a common type 2 diabetes treatment chloramphenicol, an antibiotic Very low levels of vitamin B-12 can result in serious complications, including anemia

However, it's easy to avoid vitamin B12 deficiency by recognizing if you're at risk and taking measures to avoid developing a deficiency

The note must document a distinct clinical decision-making process, such as evaluating treatment response, adjusting the tirzepatide dose , managing side effects, or addressing concurrent medical issues

Nemazannikova, N., K

Erysipelatoclostridium relative abundance was significantly greater in the vehicle-treated group switched from WD to LD relative to all other groups (before FDR correction, Fig