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While rare, these do exist

First, every puncture introduces a tiny amount of air, microbes, and surface contamination from the rubber stopper

It found that: the profound hypochlorhydria induced by omeprazole may indeed impair the optimal absorption of orally administered iron in iron-deficient individuals[201] In fact, PPI therapy is so reliable in reducing iron absorption from food, it is now being used as a treatment for decreasing iron absorption from food in conditions of excess iron stores in the body called hemochromatosis

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