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No stomach acid degradation, no intestinal absorption limits, no lipid envelope required
Remember, more is not always better, and targeted supplementation based on identified needs is the most evidence-based approach
[12] Gastric acid-suppressing agents (proton-pump inhibitors and H-receptor antagonists) diminish dietary B12 liberation from protein complexes, a pharmacodynamic interaction that can exacerbate underlying deficiency
Review existing medications and modify protocols according to lab and clinical results
Doctors in the UK are expected to practice in line with evidence-based guidelines, but they must consider individual patient circumstances, local resources, and the specific guidance from their respective health systems
doi: 10.1111/and.12521
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