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Proton pump inhibitors (PPIs) and H2-receptor antagonists reduce gastric acid production, impairing the release of B12 from dietary proteinsthough intrinsic factor-mediated absorption of synthetic B12 remains largely intact

These may include issues related to intestinal permeability, irritation, or imbalance within the gut environment

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Dehydration from persistent nausea and vomiting can drop potassium and magnesium levels below normal ranges, leading to cramping and muscle weakness that feels similar to flu-like aches

Deficiency can lead to anemia and fatigue, making supplementation an effective way to help maintain energy and vitality

It also stimulates the release of growth hormone through somatoliberin stimulation, connecting sleep quality directly to recovery and repair processes