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Metformin tops this list, with well-documented effects on b12 levels
Antacids and proton pump inhibitors such as Prilosec, Protonix, Prevacid, Aciphex, Zantac and Pepcid also can lead to B12 deficiency, because they reduce the stomach acid necessary to release the B12 from food
Mental Health and Weight Stigma Monitoring The AAP's 2023 Clinical Practice Guideline for Obesity Treatment in Children and Adolescents places mental health screening at the center of any pharmacological obesity intervention [19]
