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It could be a sensitivity or a paradoxical reaction if their detoxification pathways are congested (including the interstitium and liver)

Medication Interactions: Certain medications, like proton pump inhibitors and metformin, may interfere with B12 absorption

People on PPIs for a long time should get their B12 levels checked regularly

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You should avoid Phentermine if you are taking: MAO Inhibitors: These antidepressants can cause severe, potentially life-threatening interactions with Phentermine

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