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Medications such as histamine 2 receptor antagonists and proton pump inhibitors (PPIs) (lansoprazole, omeprazole, and esomeprazole) that suppress gastric acid may lower total serum B12 levels by impairing the release of B12 from food (Damodharan et al., 2021

[DOI] [PubMed] [Google Scholar] 112.Jakobsson HE, Jernberg C, Andersson AF, Sjlund-Karlsson M, Jansson JK, Engstrand L

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This compound is not approved as a drug, diagnostic, or dietary ingredient, and is not manufactured, packaged, or marketed for consumption, self experimentation, clinical application, or any use outside properly designed and ethically approved research protocols.

Addressing the deficiency may help improve nail strength and appearance over time