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[6] [13] Proton pump inhibitors (PPIs) and H2-receptor antagonists , used for acid reflux, reduce stomach acid production and may affect B12 release from food proteins

The meeting concerns compounding eligibility only

Visual indicators include color change (from blue to green, brown, or cloudy), visible particles or precipitation, and unusual film or residue

Only one vegan had clinical symptoms of B12 deficiency, mild numbness in one hand, which resolved upon supplementation
