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Patients taking certain medications (e.g., chloramphenicol may reduce the effectiveness of B12 therapy) or with risk factors for B12 deficiency (metformin use, proton pump inhibitors, nitrous oxide exposure, vegan diet) should discuss these with their healthcare provider

A balanced microbiome is essential for optimal digestion and nutrient absorption, which can positively impact blood sugar regulation and reduce inflammation

Exogenous GH (somatropin) is the growth hormone injected directly, producing constant supraphysiological levels

If the medication isn't stored properly, its effectiveness for weight loss can be compromised

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Gastroenterology 2002;123:11208