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Medications that can interfere with B 12 absorption Proton pump inhibitors, such as omeprazole/Prilosec) and lansoprazole/Prevacid commonly prescribed medications for heartburn, reflux, or ulcers Histamine H2 receptor antagonists, such as cimetidine (Tagamet), famotidine (Pepcid), and ranitidine (Zantac) also prescribed for heartburn, reflux, or ulcers Metformin, a medication for diabetes National Institutes of Health, Office of Dietary Supplements Robert H

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Vitamin E is an antioxidant that contributes to protecting cells from oxidative stress and supports overall health

In addition, there was no correlation between IGF-1 and its receptor levels in this study, which may be related to the limited sample size, and their relationship needs to be further investigated

However, recent advancements in oral formulations have narrowed this efficacy gap