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For signs of systemic hypersensitivity reactions (generalized hives, facial/lip/tongue swelling, breathing difficulty), patients should stop the medication immediately and seek emergency care

These medications can reduce vitamin B12 absorption over time by slowing gastric emptying and altering gut bacteria composition

[DOI] [PMC free article] [PubMed] [Google Scholar] 142.Radeljak S., Seiwerth S., Sikiric P

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