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Cell Metab 35:15001518 Atkinson MA, Bluestone JA, Eisenbarth GS, Hebrok M, Herold KC, Accili D, Pietropaolo M, Arvan PR, Von Herrath M, Markel DS, Rhodes CJ (2011) How does type 1 diabetes develop?: the notion of homicide or -cell suicide revisited

If you have been experiencing consistent appetite suppression and weight loss and suddenly notice your medication seems less effective despite no changes to your dose or diet plan , degraded medication could be the cause

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In fact, the absorption of B12 requires that you have adequate stomach acid (among many other factors), which means that if you are taking acid blockers for reflux you are likely reducing your absorption of B12

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