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Furthermore, certain medications, like proton pump inhibitors for acid reflux, metformin for diabetes, and some medications for peptic ulcers or heartburn, can impair your body’s ability to process Vitamin B12

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Role of Plasminogen Activator Inhibitor-1 in Glucocorticoid-Induced Diabetes and Osteopenia in Mice Yukinori Tamura, Naoyuki Kawao, Masato Yano, Kiyotaka Okada, Katsumi Okumoto, Yasutaka Chiba, Osamu Matsuo, Hiroshi Kaji Diabetes .2015