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pylori Eradication Part of triple therapy (PPI + 2 antibiotics) Prevention Stress ulcer prophylaxis in critically ill patients Prevention of upper GI bleeding in high-risk patients on NSAIDs Dosage (Exam Favorite) Standard adult dose examples: Omeprazole 20 mg once daily (GERD) Pantoprazole 40 mg once daily (ulcer prophylaxis) Duration depends on indication (usually 48 weeks for GERD/ulcers) Adverse Effects Common: Headache, nausea, diarrhea, abdominal pain Long-term use: Vitamin B12 deficiency Hypomagnesemia Increased risk of fractures Risk of C

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B12 IV infusions combine B12 with hydrating fluids and complementary micronutrients, offering near-complete bioavailability and broader physiological support

To date, management of vitamin B12 deficiency with vitamin B12 injections is currently well established, but new routes of vitamin B12 administration, particularly oral and nasal, are being studied [3,4]