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Long-term use of proton-pump inhibitors has been found to decrease blood vitamin B 12 concentrations

You may need regular B12 injections over several months to see full improvement

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For many patients, this includes: Advanced lab testing Hormone optimization Nutritional strategy and protein intake Strength-based training Sleep and recovery optimization Compounds like 5-Amino-1MQ are considered within this larger frameworknever as a shortcut, but as part of a personalized strategy

Journal of Molecular Endocrinology, 25(3), 287298