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Proton pump inhibitors (PPIs) and H2-receptor antagonists, used for acid reflux, reduce stomach acid production, which can impair dietary B12 absorption, though this does not directly affect injections
FYI, my son has lost 53 lbs
High-dose B12, particularly intramuscular injections delivering 1,000 micrograms or more, appears more likely to trigger acne than standard dietary intake or lower-dose oral supplements
It may be fatal without quick treatment
Additionally, stopping injectable semaglutide before completing the treatment program may lead to weight regain and loss of cardiovascular benefits
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