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However, it is worth noting that another medication in the incretin-based therapy class metformin is well-established to reduce vitamin B12 absorption in some patients through effects on calcium-dependent ileal uptake mechanisms

J Neurosci 28:1359213608 [DOI] [PMC free article] [PubMed] [Google Scholar] Yuste R, Bonhoeffer T

Fibrolipomatous hamartoma of the median nerve in a child with carpal tunnel syndrome: imaging findings and literature review

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Understanding the specific symptoms that emerge when you mix GHB and alcohol helps explain why this combination can be fatal even when neither substance alone would have caused the same outcome