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Table 7

A greater number of randomized controlled trials as opposed to cross-sectional studies are required to conclusively identify the extent to which H 2 RAs, PPIs and metformin independently and in combination contribute to patients increased risk of vitamin B 12 deficiency and potentially consequent neuropathy

Patients with pernicious anemia have an irreversible cause of deficiency, so its important to ensure other factors do not contribute to further deficiency progression

This synergistic blend supports energy production, nervous system function, and healthy metabolism while promoting fat breakdown and liver function