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Proton pump inhibitors (PPIs) and H2-receptor antagonists (H2RAs) are commonly prescribed after bariatric surgery and can impair the release of B12 from food proteins, reducing absorption of food-bound B12 over time

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In the meantime, always protect your skin from the sun whether or not you have vitiligo

About 15 percent of adults above 65 years have subclinical deficiency, probably contributed to by the use of H2-receptor blockers for hyperacidity treatment, since these also reduce cobalamine levels

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