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8 A case-control study that compared 25,956 patients who had vitamin B 12 deficiency with 184,199 control patients found a significantly increased risk of vitamin B 12 deficiency in patients who had taken proton pump inhibitors (odds ratio = 1.65) or histamine H 2 blockers (odds ratio = 1.25) for at least two years

Although all patients began at different House-Brackman starting points, almost all ended at the same endpoint on the scale over the same period of time four weeks

Open communication with your healthcare providers about your experiences, concerns, and goals is crucial for achieving the best possible outcomes while minimizing risks

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