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The absence of established treatment protocols makes it difficult to determine optimal dosing regimens, treatment duration, and comprehensive monitoring requirements

Medication Interactions Gastric Acid Inhibitors Gastric acid inhibitors include proton pump inhibitors, such as omeprazole (Prilosec) and lansoprazole (Prevacid), and histamine 2-receptor antagonists, such as cimetidine (Tagamet) and ranitidine (Zantac)

As a result, a vitamin B-12 deficiency can have serious implications for diabetics, including fatigue and depression, as well as other neurological effects

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