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In addition to risk of vitamin B12, calcium, iron and magnesium malabsorption, there is evidence that acid suppression by PPIs increases risk of malabsorption of other important vitamins and minerals as well, including vitamin C, zinc and folic acid.[231- 235] Proton pump inhibitor therapy lowers the concentration of vitamin C in gastric juice and the proportion of the vitamin in its active antioxidant form i.e., ascorbic acid
Michalek M, Gelhaus C, Hecht O, Podschun R, Schrder JM, Leippe M, Grtzinger J: The human antimicrobial protein psoriasin acts by permeabilization of bacterial membranes
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Vitamin B 12 (cobalamin) is a water-soluble vitamin that is crucial to normal neurologic function, red blood cell production, and DNA synthesis
Then, youll need regular doses to keep B12 levels right